Lake Hospital System
NPI #1255394136 in Willoughby, Ohio
Provider Information
- NPI Number
- 1255394136
- Entity Type
- Organization
- Organization Name
- Lake Hospital System
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 36000 EUCLID AVE
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4625
- Phone
- (440) 953-6082
Authorized Official
- Name
- MR. ROBERT TRACZ
- Title
- CFO
- Phone
- (440) 354-1990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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