LAKE HOSPITAL SYSTEM INC. NPI 1124255278

NPI Information

NPI: 1124255278
Provider Name: LAKE HOSPITAL SYSTEM, INC.

Doing Business As: LAKE HEALTH PHYSICIAN GROUP VASCULAR ACCESS SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
36001 EUCLID AVE
B-3
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-1898
Get Directions

LAKE HOSPITAL SYSTEM, INC. is a vascular surgery surgery in Willoughby, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LAKE HOSPITAL SYSTEM, INC. NPI is 1124255278. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Health Physician Group Vascular Access Surgery.

The provider's business location address is:

36001 EUCLID AVE
B-3
WILLOUGHBY, OH
ZIP 44094-643
Phone: (440) 953-1898
Fax: (440) 953-9296

The provider's authorized official is Richard D Cicero .
The authorized official title is Sr. Vp, Business Development and has the following contact phone number (440) 354-1739.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 4/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery				No
2	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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