Lake Hospital System, INC

NPI #1134189376 in Madison, Ohio

Provider Information

NPI Number
1134189376
Entity Type
Organization
Organization Name
Lake Hospital System, INC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Mar 23, 2006
Last Updated
Feb 15, 2017

Practice Location

Address
6270 N RIDGE RD
State
Ohio
ZIP Code
44057-2567
Phone
(440) 428-8256

Authorized Official

Name
MR. ROBERT TRACZ
Title
CFO
Phone
(440) 354-1953

Specialties & Taxonomy Codes

Specialty
Internal Medicine
General Practice
Family Medicine
Clinic/Center - Urgent CareUrgent Care

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