LC
LAKE COUNTY PAIN & DIAGNOSTIC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MENTOR, OH
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1497740617
Agency details
Parent orgPATRICK T. BOYLAN, MD INC
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients246
RevalidationDue 2024-04-30
Authorized official
NamePATRICK BOYLAN
TitleOWNER / PHYSICIAN
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