Lake Hospital System INC

NPI #1013951920 in Mentor, Ohio

Provider Information

NPI Number
1013951920
Entity Type
Organization
Organization Name
Lake Hospital System INC
Subpart
Yes (part of a larger organization)
Parent Organization
LAKE HOSPITAL SYSTEM, INC.
Primary Specialty
Pediatrics
Enumeration Date
Jun 15, 2006
Last Updated
Sep 6, 2007

Practice Location

Address
9485 MENTOR AVE
Address 2
101
City
Mentor
State
Ohio
ZIP Code
44060
Phone
(440) 205-5800

Authorized Official

Name
MR. ROBERT TRACZ
Title
CHIEF FINANCIAL OFFICER
Phone
(440) 354-1051

Specialties & Taxonomy Codes

Specialty
Pediatrics

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