# LAKE ERIE ANESTHESIA OF PA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215234638
- **Authorized official:** MS. KIMBERLY J FITZPATRICK CRNA (PRESIDENT)
- **Authorized official phone:** (814) 835-2298

## Contact information

- **Practice address:** 5529 SHADYBROOK DR, ERIE, PA 16506-6508
- **Practice address phone:** (814) 835-2298
- **Mailing address:** 5529 SHADYBROOK DR, ERIE, PA 16506-6508
- **Mailing address phone:** (814) 835-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | PA | Yes |

## Other

- **Enumeration date:** 02/21/2011
- **Last updated:** 05/08/2013