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Organization
LAKE ERIE INTEGRATIVE HEALTH LLC
Active
Organization
LAKE ERIE INTEGRATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA N KUVSHINIKOV PA-C (PHYSICIAN ASSISTANT)
(440) 209-2916
Entity
Organization
Contact information
Practice address
268 STATE ST, CONNEAUT, OH 44030-2670
(440) 209-2916
Mailing address
268 STATE ST, CONNEAUT, OH 44030-2670
(440) 209-2916
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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