Organization
PATRICK T BOYLAN MD INC
Active
Other names
Lake Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T BOYLAN MD (OWNER / PHYSICIAN)
(440) 205-9119
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE STE 203, MENTOR, OH 44060-8723
(440) 205-9119
Mailing address
9485 MENTOR AVE STE 203, MENTOR, OH 44060-8723
(440) 205-9119
(440) 205-9209
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35072046
OH
Other
Enumeration date
09/26/2014
Last updated
03/02/2020
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