| Lakeview Wellness | |
|
619 Fulton St # 200 Port Clinton OH 43452-2069 | |
| (419) 967-6765 | |
| Not Available |
| Full Name | Lakeview Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 619 Fulton St # 200, Port Clinton, Ohio |
| Authorized Official Name and Position | Shoshana Eisenstein (PARTNER) |
| Authorized Official Contact | 4199676765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Wellness Po Box A Port Clinton OH 43452-8001 Ph: () - | Lakeview Wellness 619 Fulton St # 200 Port Clinton OH 43452-2069 Ph: (419) 967-6765 |
| NPI Number | 1144099524 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 1355780081 |
|---|---|
| Medicare Enrollment ID | O20240415002186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144099524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shoshana Eisenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861620973 PECOS PAC ID: 7416094255 Enrollment ID: I20091027000433 |
| Provider Name | Carl Wayne Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457469751 PECOS PAC ID: 5496887994 Enrollment ID: I20100720000077 |
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