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Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Parent organization
LAKE HOSPITAL SYSTEM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE HOSPITAL SYSTEM, INC.
Authorized official
ROBERT B TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1642
Entity
Organization
Contact information
Practice address
7580 AUBURN ROAD, SUITE 202, CONCORD TOWNSHIP, OH 44077
(440) 352-0400
(440) 352-4535
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(440) 354-1899
(440) 354-1089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
03/17/2018
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