Lake Hospital System

NPI #1942580394 in Mentor, Ohio

Provider Information

NPI Number: 1942580394
Entity Type: Organization
Organization Name: Lake Hospital System
Primary Specialty: Family Medicine
Enumeration Date: Aug 17, 2011
Last Updated: Aug 17, 2011

Practice Location

Address: 8316 YELLOWBRICK RD
City: Mentor
State: Ohio
ZIP Code: 44060-4960
Phone: (440) 205-8818

Authorized Official

Name: RICK CICERO
Title: SR. VP BUSINESS DEVELOPMENT
Phone: (440) 354-1739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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