Lake Hospital System, Inc.

NPI #1821253048 in Mentor, Ohio

Provider Information

NPI Number
1821253048
Entity Type
Organization
Organization Name
Lake Hospital System, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Jul 28, 2008
Last Updated
Jul 28, 2008

Practice Location

Address
9500 MENTOR AVE
Address 2
SUITE 100
City
Mentor
State
Ohio
ZIP Code
44060-8713
Phone
(440) 352-4880

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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