Lake Hospital System, Inc.

NPI #1639315062 in Willowick, Ohio

Provider Information

NPI Number
1639315062
Entity Type
Organization
Organization Name
Lake Hospital System, Inc.
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
Jan 7, 2009
Last Updated
Jan 7, 2009

Practice Location

Address
29804 LAKESHORE BLVD
State
Ohio
ZIP Code
44095-4611
Phone
(440) 354-1899

Authorized Official

Name
ROBERT TRACZ
Title
CHIEF FINANCIAL OFFICER
Phone
(440) 354-1642

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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