Lake Hospital System INC
NPI #1699719518 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1699719518
- Entity Type
- Organization
- Organization Name
- Lake Hospital System INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAKE HOSPITAL SYSTEM, INC.
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Sep 6, 2007
Practice Location
- Address
- 35040 CHARDON RD
- Address 2
- BLDG VII #205
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44094
- Phone
- (440) 918-4630
Authorized Official
- Name
- MR. ROBERT TRACZ
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (440) 354-1051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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