Organization
LAKE HOSPITAL SYSTEM INC
Active
Parent organization
LAKE HOSPITAL SYSTEM INC
Other names
LAKE HEALTH ALLIED HEALTH PROFESSIONALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE HOSPITAL SYSTEM INC
Authorized official
DAVE EBEL (INTERIM CFO)
(440) 375-8100
Entity
Organization
Contact information
Practice address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 375-8100
Mailing address
PO BOX 781789, DETROIT, MI 48278-1789
(440) 375-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
02/17/2011
Last updated
04/04/2017
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