| Lake Point Medical Group, Llc | |
|
1730 W 25th St Ste 2e Cleveland OH 44113-3108 | |
| (216) 227-2194 | |
| Not Available |
| Full Name | Lake Point Medical Group, Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 1730 W 25th St Ste 2e, Cleveland, Ohio |
| Authorized Official Name and Position | George Khuri (OWNER) |
| Authorized Official Contact | 2162268700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Point Medical Group, Llc 1730 W 25th St Cleveland OH 44113-3108 Ph: (216) 363-2353 | Lake Point Medical Group, Llc 1730 W 25th St Ste 2e Cleveland OH 44113-3108 Ph: (216) 227-2194 |
| NPI Number | 1982161527 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 6002177342 |
|---|---|
| Medicare Enrollment ID | O20191001002409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982161527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
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