NPI 1003090689

Lake Hospital System, INC.

Organisation Orthopaedic Surgery Physician Willoughby, OH

Practice location

Address: 36060 Euclid Ave Suite 203, Willoughby, OH 44094-4656
Phone: (440) 602-6670
Fax: (440) 602-6671
Mailing address: P.O. Box 714328, Columbus, OH 43271-4328

Authorised official

Name: Robert Tracz
Title: Chief Financial Officer
Phone: (440) 354-1642

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Ohio →

Registry record

NPI: 1003090689
Entity type: Organization
NPI issued: 19 Dec 2007
Record last updated: 14 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.