Organization
LAKE HOSPITAL SYSTEM INC
Active
Other names
LHPG Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A TRACZ (CHIEF FINANCIAL OFFICER)
(440) 354-1051
Entity
Organization
Contact information
Practice address
16030 E HIGH ST STE 101, MIDDLEFIELD, OH 44062-9474
(440) 632-0594
(440) 632-0596
Mailing address
PO BOX 781389, DETROIT, MI 48278-1389
(800) 354-1985
(440) 350-4938
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017301
—
OH
Enumeration date
06/29/2006
Last updated
02/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us