| Lake Anna Primary Care | |
|
2701 Star Ln Wadsworth OH 44281-9546 | |
| (216) 420-9403 | |
| (216) 420-9354 |
| Full Name | Lake Anna Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 Star Ln, Wadsworth, Ohio |
| Authorized Official Name and Position | Thomas S. Lehner (OWNER) |
| Authorized Official Contact | 2164209403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Anna Primary Care Po Box 43 Cuyahoga Falls OH 44222-0043 Ph: (216) 420-9403 | Lake Anna Primary Care 2701 Star Ln Wadsworth OH 44281-9546 Ph: (216) 420-9403 |
| NPI Number | 1083897136 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 9436231560 |
|---|---|
| Medicare Enrollment ID | O20080129000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083897136 | NPI | - | NPPES |
| 2210646 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35049143 (Ohio) | Primary |
| Provider Name | Thomas S Lehner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477536258 PECOS PAC ID: 7618929175 Enrollment ID: I20050214000381 |
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