Lake Heart Center LLC
NPI #1922419142 in Painesville, Ohio
Provider Information
- NPI Number
- 1922419142
- Entity Type
- Organization
- Organization Name
- Lake Heart Center LLC
- Primary Specialty
- Internal Medicine - Interventional Cardiology
- Enumeration Date
- May 9, 2014
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 124 LIBERTY ST
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077-3362
- Phone
- (440) 321-9725
Authorized Official
- Name
- RAJ P VALLABHANENI, M.D.
- Title
- PRESIDENT
- Phone
- (440) 321-9725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
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