Lake Anna Primary Care

NPI 1083897136 - Family Medicine - 207Q00000X

NPI Details
NPI 1083897136
Enumeration Date 12/12/2007
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS S THOMAS
Position PRESIDENT
Phone (216) 420-9403
Fax (216) 420-9354
Practice Location
104 3RD ST NW
SUITE 203
BARBERTON OH, 44203-8223, US
Phone (216) 420-9403
Fax (216) 420-9354
Business Location
PO BOX 43
CUYAHOGA FALLS OH, 44222-0043, US
Phone (216) 420-9403
Fax (216) 420-9354
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35049143
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According to our database, Lake Anna Primary Care NPI is 1083897136, taxonomy code is 207Q00000X and license number is 35049143, license state is located at Ohio. Lake Anna Primary Care physically located at 104 3rd St Nw, Barberton OH, 44203-8223. NPI Number 1033115704 has the healthcare provider type.

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1083897136 NPI number is provided on an as is basis without warranty of any kind. 1083897136 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Anna Primary Care are for informational purposes only.