| Lake County Family Practice | |
|
9500 Mentor Ave Suite 100 Mentor OH 44060-8713 | |
| (440) 352-4880 | |
| (440) 352-3629 |
| Full Name | Lake County Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 9500 Mentor Ave, Mentor, Ohio |
| Authorized Official Name and Position | Robert B Tracz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4403541642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Family Practice Po Box 715165 Columbus OH 43271-0001 Ph: (440) 352-4880 | Lake County Family Practice 9500 Mentor Ave Suite 100 Mentor OH 44060-8713 Ph: (440) 352-4880 |
| NPI Number | 1821253048 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821253048 | NPI | - | NPPES |
| LA9368241 | Other | OH | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |
Lake County Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
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 |