Lake Hospital System, Inc.

NPI #1316198724 in Concord Township, Ohio

Provider Information

NPI Number
1316198724
Entity Type
Organization
Organization Name
Lake Hospital System, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LAKE HOSPITAL SYSTEM, INC.
Primary Specialty
Family Medicine
Enumeration Date
Oct 3, 2008
Last Updated
Mar 17, 2018

Practice Location

Address
7580 AUBURN ROAD
Address 2
SUITE 202
State
Ohio
ZIP Code
44077
Phone
(440) 352-0400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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