LAKE HOSPITAL SYSTEM NPI 1326141987

NPI Information

LAKE HOSPITAL SYSTEM is a family medicine in Willowick, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKE HOSPITAL SYSTEM NPI is 1326141987. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primehealth Willowick Primary Care.

The provider's business location address is:

29804 LAKESHORE BLVD
WILLOWICK, OH
ZIP 44095
Phone: (440) 833-2095
Fax: (440) 833-2096

The provider's authorized official is Robert Tracz .
The authorized official title is Chief Financial Officer and has the following contact phone number (440) 354-1051.

The CLIA number assigned to this NPI record is 36D1058357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/8/2008.

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:

Other Identifiers

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