Organization
LAKE CARDIOVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAWN RINGOLD (OFFICE MANAGER)
(440) 354-0944
Entity
Organization
Contact information
Practice address
7879 AUBURN RD STE 1A, CONCORD TWP, OH 44077-9611
(440) 354-0944
(440) 354-2043
Mailing address
7879 AUBURN RD STE 1A, CONCORD TWP, OH 44077-9611
(440) 354-0944
(440) 354-2043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35070370P
OH
207RC0000X
Cardiovascular Disease Physician
35092518
OH
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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