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LAKE HOSPITAL SYSTEM INC NPI 1508800426


NPI Information

NPI: 1508800426
Provider Name: LAKE HOSPITAL SYSTEM INC

Doing Business As: PRIMEHEALTH SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
36060 EUCLID AVE
SUITE 204
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 602-6553
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LAKE HOSPITAL SYSTEM INC is a surgery in Willoughby, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LAKE HOSPITAL SYSTEM INC NPI is 1508800426. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primehealth Surgery.

The provider's business location address is:

36060 EUCLID AVE
SUITE 204
WILLOUGHBY, OH
ZIP 44094-656
Phone: (440) 602-6553
Fax: (440) 602-6566

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 enumeration date for this NPI number is 6/15/2006 and was last updated on 9/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LA9368241MEDICARE PINOHIO
22591502MEDICAIDOHIO

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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