Organization
LAKE COUNTY PAIN & DIAGNOSTIC
Active
Parent organization
PATRICK T. BOYLAN, MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRICK T. BOYLAN, MD INC
Authorized official
PATRICK T BOYLAN MD (OWNER / PHYSICIAN)
(440) 205-9119
Entity
Organization
Contact information
Practice address
8401 MENTOR AVE, STE A, MENTOR, OH 44060-5842
(440) 205-9119
(440) 205-9209
Mailing address
9485 MENTOR AVE STE 203, MENTOR, OH 44060-8723
(440) 205-9119
(440) 205-9209
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0743A5
OH
Other
Enumeration date
09/14/2005
Last updated
03/02/2020
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