Lake Hospital System, Inc.

NPI #1174762512 in Perry, Ohio

Provider Information

NPI Number: 1174762512
Entity Type: Organization
Organization Name: Lake Hospital System, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Feb 9, 2009
Last Updated: Feb 9, 2009

Practice Location

Address: 2 SUCCESS BLVD.
City: Perry
State: Ohio
ZIP Code: 44081
Phone: (440) 375-8590

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Lake Hospital System INC	Family Medicine	Perry	AI Deep Dive

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