Organization
LAKE ERIE SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE ANNE WARREN (MANAGER)
(440) 934-7979
Entity
Organization
Contact information
Practice address
5077 WATERFORD DR, 305, SHEFFIELD VILLAGE, OH 44035-0704
(440) 934-7979
(440) 934-6969
Mailing address
5077 WATERFORD DR, 305, SHEFFIELD VILLAGE, OH 44035-0704
(440) 934-7979
(440) 934-6969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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