Lake Hospital System INC

NPI #1508800426 in Willoughby, Ohio

Provider Information

NPI Number: 1508800426
Entity Type: Organization
Organization Name: Lake Hospital System INC
Subpart: Yes (part of a larger organization)
Parent Organization: LAKE HOSPITAL SYSTEM, INC.
Primary Specialty: Surgery
Enumeration Date: Jun 15, 2006
Last Updated: Sep 10, 2007

Practice Location

Address: 36060 EUCLID AVE
Address 2: SUITE 204
City: Willoughby
State: Ohio
ZIP Code: 44094-4656
Phone: (440) 602-6553

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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