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Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Other names
PrimeHealth Perry Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1642
Entity
Organization
Contact information
Practice address
2 SUCCESS BLVD., PERRY, OH 44081
(440) 375-8590
(440) 259-2106
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(440) 375-8590
(440) 259-2106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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