Search › Ohio › 3747P1801X
Madison Lake
NPI 1871362848 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2201 S Ridge Rd E
Ashtabula, OH 44004 - Phone
- (330) 703-1819
Additional practice sites
- 1360 Gray Fox Dr, North Canton, OH
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Female
- Record last updated
- 2024-01-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio