Lake Hospital System INC

NPI #1720020274 in Willoughby, Ohio

Provider Information

NPI Number
1720020274
Entity Type
Organization
Organization Name
Lake Hospital System INC
Subpart
Yes (part of a larger organization)
Parent Organization
LAKE HOSPITAL SYSTEM, INC.
Primary Specialty
Pediatrics
Enumeration Date
Jun 11, 2006
Last Updated
Sep 6, 2007

Practice Location

Address
36001 EUCLID AVE
Address 2
STE B-16
State
Ohio
ZIP Code
44094
Phone
(440) 942-4844

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics

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