Lake Hospital System, Inc.

NPI #1366721763 in Euclid, Ohio

Provider Information

NPI Number: 1366721763
Entity Type: Organization
Organization Name: Lake Hospital System, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Aug 16, 2011
Last Updated: Aug 16, 2011

Practice Location

Address: 26151 EUCLID AVE
Address 2: SUITE 201
City: Euclid
State: Ohio
ZIP Code: 44132-3322
Phone: (216) 261-7970

Authorized Official

Name: RICK CICERO
Title: SR VP BUSINESS DEVELOPMENT
Phone: (440) 354-1739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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