# ENDOSCOPY CENTER OF LAKE COUNTY, LLC

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

## Provider details

- **NPI number:** 1386696458
- **Authorized official:** ERICA WEHRMEISTER (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (260) 760-9420

## Contact information

- **Practice address:** 9614 OLD JOHNNYCAKE RIDGE RD, MENTOR, OH 44060-6521
- **Practice address phone:** (440) 205-1225
- **Practice address fax:** (440) 205-1278
- **Mailing address:** 9614 OLD JOHNNYCAKE RIDGE RD, MENTOR, OH 44060-6521
- **Mailing address phone:** (440) 205-1225
- **Mailing address fax:** (440) 205-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/15/2025
