Lake Hospital System, Inc.

NPI #1477844686 in Mentor, Ohio

Provider Information

NPI Number
1477844686
Entity Type
Organization
Organization Name
Lake Hospital System, Inc.
Primary Specialty
Surgery
Enumeration Date
Apr 21, 2011
Last Updated
Apr 21, 2011

Practice Location

Address
9500 MENTOR AVE
Address 2
SUITE 300
City
Mentor
State
Ohio
ZIP Code
44060-8713
Phone
(440) 354-0377

Authorized Official

Name
RICHARD D. CICERO
Title
SR. VP, BUSINESS DEVELOPMENT
Phone
(440) 354-1739

Specialties & Taxonomy Codes

Specialty
Surgery

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