Lake Hospital System, Inc.
NPI #1003090689 in Willoughby, Ohio
Provider Information
- NPI Number
- 1003090689
- Entity Type
- Organization
- Organization Name
- Lake Hospital System, Inc.
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Apr 14, 2011
Practice Location
- Address
- 36060 EUCLID AVE
- Address 2
- SUITE 203
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4656
- Phone
- (440) 602-6670
Authorized Official
- Name
- ROBERT TRACZ
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (440) 354-1642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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