Lake Hospital System, Inc.

NPI #1710207329 in Mentor, Ohio

Provider Information

NPI Number: 1710207329
Entity Type: Organization
Organization Name: Lake Hospital System, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 4, 2010
Last Updated: Jun 4, 2010

Practice Location

Address: 9485 MENTOR AVE
Address 2: SUITE 202
City: Mentor
State: Ohio
ZIP Code: 44060-4597
Phone: (440) 205-5862

Authorized Official

Name: MR. ROBERT B TRACZ
Title: CHIEF FINANCIAL OFFICER
Phone: (440) 354-1642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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