| Lake County Family Practice, Llc | |
|
9500 Mentor Avenue Suite 100 Mentor OH 44060 | |
| (440) 352-4880 | |
| (440) 352-3629 |
| Full Name | Lake County Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9500 Mentor Avenue, Mentor, Ohio |
| Authorized Official Name and Position | Eileen Sraj (OFFICE MANAGER) |
| Authorized Official Contact | 4403524880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Family Practice, Llc Po Box 75358 Cleveland OH 44101-2199 Ph: (440) 352-4880 | Lake County Family Practice, Llc 9500 Mentor Avenue Suite 100 Mentor OH 44060 Ph: (440) 352-4880 |
| NPI Number | 1114057171 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114057171 | NPI | - | NPPES |
| 0588430 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
University Primary Care Practices Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 204, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481 | |
Crossroads Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9220 Mentor Ave, Mentor, OH 44060 Phone: 440-354-9924 Fax: 877-242-9583 | |
Hackett Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8300 Tyler Blvd, Suite 300, Mentor, OH 44060 Phone: 440-205-1529 Fax: 440-205-0840 | |
Bowersox Wound Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6966 Heisley Rd Ste F, Mentor, OH 44060 Phone: 440-488-4575 | |
Wound Think Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Grace Dr, Mentor, OH 44060 Phone: 440-227-2000 | |
Suhas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9110 Mentor Ave Ste 9b, Mentor, OH 44060 Phone: 440-701-8030 |