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
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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