Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Other names
Lake Health Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1642
Entity
Organization
Contact information
Practice address
36060 EUCLID AVE, SUITE 203, WILLOUGHBY, OH 44094-4656
(440) 602-6670
(440) 602-6671
Mailing address
P.O. BOX 714328, COLUMBUS, OH 43271-4328
(440) 602-6670
(440) 602-6671
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
04/14/2011
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