# LAKE OBSTETRICS AND GYNECOLOGY, INC

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

## Provider details

- **NPI number:** 1730145020
- **Authorized official:** PATRICK A QUINN MD (PRES)
- **Authorized official phone:** (440) 352-0688

## Contact information

- **Practice address:** 89 E HIGH ST, PAINESVILLE, OH 44077-3408
- **Practice address phone:** (440) 352-0688
- **Mailing address:** 89 E HIGH ST, PAINESVILLE, OH 44077-3408
- **Mailing address phone:** (440) 352-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 08/22/2020
