Organization
LAKE HOSPITAL SYSTEM, INC
Active
Organization
LAKE HOSPITAL SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SCHILLERO (DIRECTOR OF FINANCIAL PLANNING)
(216) 767-8141
Entity
Organization
Contact information
Practice address
10977 CAPITAL PKWY, CONCORD TWP, OH 44077-9394
(440) 918-6366
Mailing address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
(440) 953-6081
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36S098
PTAN
—
Enumeration date
06/05/2009
Last updated
06/10/2025
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