Lake Hospital System, Inc.

NPI #1912181595 in Chardon, Ohio

Provider Information

NPI Number: 1912181595
Entity Type: Organization
Organization Name: Lake Hospital System, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Dec 19, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 510 FIFTH AVENUE
City: Chardon
State: Ohio
ZIP Code: 44024
Phone: (440) 279-1526

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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