Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Other names
LHPG Thomas Euclid Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CICERO (SR VP BUSINESS DEVELOPMENT)
(440) 354-1739
Entity
Organization
Contact information
Practice address
26151 EUCLID AVE, SUITE 201, EUCLID, OH 44132-3322
(216) 261-7970
(216) 261-6191
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(216) 261-7970
(216) 261-6191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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