Lake Hospital System Inc.

NPI #1912967209 in Willowick, Ohio

Provider Information

NPI Number: 1912967209
Entity Type: Organization
Organization Name: Lake Hospital System Inc.
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Mar 23, 2006
Last Updated: Feb 15, 2017

Practice Location

Address: 29804 LAKE SHORE BLVD
City: Willowick
State: Ohio
ZIP Code: 44095-4611
Phone: (440) 585-3322

Authorized Official

Name: MR. BOB TRACZ
Title: CFO
Phone: (440) 354-1953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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