Lake Hospital System

NPI #1326141987 in Willowick, Ohio

Provider Information

NPI Number: 1326141987
Entity Type: Organization
Organization Name: Lake Hospital System
Subpart: Yes (part of a larger organization)
Parent Organization: LAKE HOSPITAL SYSTEM
Primary Specialty: Family Medicine
Enumeration Date: Sep 7, 2006
Last Updated: Apr 8, 2008

Practice Location

Address: 29804 LAKESHORE BLVD
City: Willowick
State: Ohio
ZIP Code: 44095
Phone: (440) 833-2095

Authorized Official

Name: MR. ROBERT TRACZ
Title: CHIEF FINANCIAL OFFICER
Phone: (440) 354-1051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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