| Vein Clinics Of Lake County Llc | |
|
7965 Auburn Rd Concord Township OH 44077-9701 | |
| (440) 352-2702 | |
| (440) 252-2700 |
| Full Name | Vein Clinics Of Lake County Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7965 Auburn Rd, Concord Township, Ohio |
| Authorized Official Name and Position | Machelle Giordon (CREDENTIALING) |
| Authorized Official Contact | 3307232111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vein Clinics Of Lake County Llc 7965 Auburn Rd Concord Township OH 44077-9701 Ph: (440) 352-2702 | Vein Clinics Of Lake County Llc 7965 Auburn Rd Concord Township OH 44077-9701 Ph: (440) 352-2702 |
| NPI Number | 1073947867 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 1850535212 |
|---|---|
| Medicare Enrollment ID | O20130925000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073947867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35074946 (Ohio) | Primary |
| Provider Name | Razieh Mohseni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629053426 PECOS PAC ID: 7315946472 Enrollment ID: I20070110000246 |
Lake Hospital System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7580 Auburn Road, Suite 202, Concord Township, OH 44077 Phone: 440-352-0400 Fax: 440-352-4535 |