| Lakeside Family Medicine-upmc | |
|
11065 State Highway 18 Suite 1 Conneaut Lake PA 16316-3569 | |
| (814) 382-6550 | |
| Not Available |
| Full Name | Lakeside Family Medicine-upmc |
|---|---|
| Speciality | Family Medicine |
| Location | 11065 State Highway 18, Conneaut Lake, Pennsylvania |
| Authorized Official Name and Position | Mark Ehalt (SR.DIRECTOR) |
| Authorized Official Contact | 4126470943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Medicine-upmc 11065 State Highway 18 Suite 1 Conneaut Lake PA 16316-3569 Ph: (814) 382-6550 | Lakeside Family Medicine-upmc 11065 State Highway 18 Suite 1 Conneaut Lake PA 16316-3569 Ph: (814) 382-6550 |
| NPI Number | 1003228172 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 05/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003228172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Titusville Area Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10926 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-0446 Fax: 814-382-7386 | |
Thrive Pelvic Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11018 State Highway 18 Ste 4, Conneaut Lake, PA 16316 Phone: 814-282-4903 | |
Robert A Bazylak, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12387 Conneaut Lake Rd, Conneaut Lake, PA 16316 Phone: 814-382-0221 Fax: 814-382-0231 | |
Conneaut Lake Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10926 Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-0446 Fax: 814-382-7386 |