Lake Hospital System INC

NPI #1366484818 in Mentor, Ohio

Provider Information

NPI Number: 1366484818
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: Jun 11, 2006
Last Updated: Sep 6, 2007

Practice Location

Address: 6990 LINDSAY DR
Address 2: #3
City: Mentor
State: Ohio
ZIP Code: 44060-4981
Phone: (440) 255-7938

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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