Lake Hospital System, Inc.

NPI #1124255278 in Willoughby, Ohio

Provider Information

NPI Number
1124255278
Entity Type
Organization
Organization Name
Lake Hospital System, Inc.
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Jun 16, 2009
Last Updated
Apr 25, 2011

Practice Location

Address
36001 EUCLID AVE
Address 2
B-3
State
Ohio
ZIP Code
44094-4643
Phone
(440) 953-1898

Authorized Official

Name
RICHARD D CICERO
Title
SR. VP, BUSINESS DEVELOPMENT
Phone
(440) 354-1739

Specialties & Taxonomy Codes

Specialty
Surgery
Surgery - Vascular SurgeryVascular Surgery

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