Organization
LAKE HOSPITAL SYSTEM INC
Active
Other names
PrimeHealth Internal Medicine Willoughby Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1642
Entity
Organization
Contact information
Practice address
2747 SOM CENTER RD, WILLOUGHBY, OH 44094-9164
(440) 354-1899
(440) 354-1089
Mailing address
10 E WASHINGTON ST, PAINESVILLE, OH 44077-3460
(440) 354-1642
(440) 354-1994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/28/2008
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