Organization
LAKE HOSPITAL SYSTEM, INC.
Active
Other names
Lake Health Physician Group Concord Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1642
Entity
Organization
Contact information
Practice address
7580 AUBURN RD, SUITE 214, PAINESVILLE, OH 44077-9615
(440) 602-6670
(440) 602-6671
Mailing address
PO 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
06/22/2010
Last updated
06/22/2010
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