Lake Hospital System INC

NPI #1164697629 in Willoughby, Ohio

Provider Information

NPI Number
1164697629
Entity Type
Organization
Organization Name
Lake Hospital System INC
Primary Specialty
Internal Medicine
Enumeration Date
Apr 25, 2008
Last Updated
Apr 28, 2008

Practice Location

Address
2747 SOM CENTER RD
State
Ohio
ZIP Code
44094-9164
Phone
(440) 354-1899

Authorized Official

Name
MR. ROBERT TRACZ
Title
CHIEF FINANCIAL OFFICER
Phone
(440) 354-1642

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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