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Organization
LAKE HOSPITAL SYSTEM INC
Active
Organization
LAKE HOSPITAL SYSTEM INC
Active
Parent organization
LAKE HOSPITAL SYSTEM, INC.
Other names
PrimeHealth Womens Health Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE HOSPITAL SYSTEM, INC.
Authorized official
MR. ROBERT TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1051
Entity
Organization
Contact information
Practice address
35040 CHARDON RD, BLDG VII #205, WILLOUGHBY HILLS, OH 44094
(440) 918-4630
(440) 918-4632
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(800) 354-1985
(440) 350-4938
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
09/06/2007
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