Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1700842812
Practice Locations (1)
LAKE OBSTETRICS AND GYNECOLOGY, INC
9500 MENTOR AVE, SUITE 220
MENTOR, OH 440608714
4403577100
Source: CMS National Downloadable File, September 2026.