LAKE HOSPITAL SYSTEM INC. NPI 1669609756

NPI Information

LAKE HOSPITAL SYSTEM, INC. is a vascular surgery surgery in Warrensville Heights, 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 1669609756. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Health Physician Group Vascular Access Surgery.

The provider's business location address is:

20050 HARVARD AVE
WARRENSVILLE HEIGHTS, OH
ZIP 44122-816
Phone: (440) 953-1898
Fax: (440) 953-9296

The provider's authorized official is Laurie Hogya .
The authorized official title is Credentialng Assistant and has the following contact phone number (440) 354-1899.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 12/29/2011.

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:

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