Eastside Primary Care LLC
NPI #1922308774 in Willoughby, Ohio
Provider Information
- NPI Number
- 1922308774
- Entity Type
- Organization
- Organization Name
- Eastside Primary Care LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 27, 2010
- Last Updated
- May 9, 2012
Practice Location
- Address
- 36100 EUCLID AVE
- Address 2
- #430
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4456
- Phone
- (440) 946-4070
Authorized Official
- Name
- JEAN B LENK, MD
- Title
- OWNER
- Phone
- (440) 946-4070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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