Organization
LAKE OBSTETRICS AND GYNECOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK A QUINN MD (PRES)
(440) 352-0688
Entity
Organization
Contact information
Practice address
89 E HIGH ST, PAINESVILLE, OH 44077-3408
(440) 352-0688
Mailing address
89 E HIGH ST, PAINESVILLE, OH 44077-3408
(440) 352-0688
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0890175
—
OH
Enumeration date
04/25/2006
Last updated
08/22/2020
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