Lake Hospital System, Inc.
NPI #1265765317 in Painesville, Ohio
Provider Information
- NPI Number
- 1265765317
- Entity Type
- Organization
- Organization Name
- Lake Hospital System, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 8, 2009
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 1223 MENTOR AVE
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077-1833
- Phone
- (440) 352-1818
Authorized Official
- Name
- RICHARD CICERO
- Title
- SR. VP, BUSINESS DEVELOPMENT
- Phone
- (440) 354-1739
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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