# LAKE PULMONARY CARE INC

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

## Provider details

- **NPI number:** 1912214701
- **Authorized official:** MARC JAMES DINGA MD (PRESIDENT)
- **Authorized official phone:** (440) 446-1423

## Contact information

- **Practice address:** 4212 STATE ROUTE 306, \#110, WILLOUGHBY, OH 44094-9258
- **Practice address phone:** (440) 953-9135
- **Practice address fax:** (440) 269-1338
- **Mailing address:** 1450 SOM CENTER RD, 25, MAYFIELD HTS, OH 44124-2118
- **Mailing address phone:** (440) 446-1423
- **Mailing address fax:** (440) 446-1498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 35043692 | OH | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 03/17/2011