# LAKE ERIE OB-GYN INC

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

## Provider details

- **NPI number:** 1861633133
- **Authorized official:** DR. LAKSHMI R. VEMULAPALLI MD (PRESIDENT)
- **Authorized official phone:** (814) 314-0072

## Contact information

- **Practice address:** 2501 W 12TH ST, 10, ERIE, PA 16505-4527
- **Practice address phone:** (814) 314-0072
- **Practice address fax:** (814) 314-0323
- **Mailing address:** 2501 W 12TH ST, 10, ERIE, PA 16505-4527
- **Mailing address phone:** (814) 314-0072
- **Mailing address fax:** (814) 314-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD025794E | PA | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/17/2009