Lakeside Eswt, Llc

NPI 1275593055 - Clinic/Center - 261QM2500X

NPI Details
NPI 1275593055
Enumeration Date 03/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DARRYL L. DARRYL
Position V.P. OPERATIONS
Phone (866) 367-3798
Fax (614) 291-9452
Practice Location
100 W 3RD AVE
SUITE 350
COLUMBUS OH, 43201-3256, US
Phone (866) 367-3798
Fax (614) 291-9452
Business Location
100 W 3RD AVE
SUITE 350
COLUMBUS OH, 43201-3256, US
Phone (866) 367-3798
Fax (614) 291-9452
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, Lakeside Eswt, Llc NPI is 1275593055, taxonomy code is 261QM2500X Lakeside Eswt, Llc physically located at 100 W 3rd Ave, Columbus OH, 43201-3256. NPI Number 1033115704 has the healthcare provider type.

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1275593055 NPI number is provided on an as is basis without warranty of any kind. 1275593055 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Eswt, Llc are for informational purposes only.