| Lake Hospital System, Inc. | |
|
29804 Lakeshore Blvd Willowick OH 44095-4611 | |
| (440) 354-1899 | |
| (440) 354-1089 |
| Full Name | Lake Hospital System, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 29804 Lakeshore Blvd, Willowick, Ohio |
| Authorized Official Name and Position | Robert Tracz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4403541642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Hospital System, Inc. Po Box 714328 Columbus OH 43271-4328 Ph: (800) 354-1985 | Lake Hospital System, Inc. 29804 Lakeshore Blvd Willowick OH 44095-4611 Ph: (440) 354-1899 |
| NPI Number | 1639315062 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639315062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Lake Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29804 Lakeshore Blvd, Willowick, OH 44095 Phone: 440-833-2095 Fax: 440-833-2096 | |
Cielo Vitality Health & Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36336 Vine St, Suite 100, Willowick, OH 44095 Phone: 216-261-6398 Fax: 216-261-6398 | |
Lake Hospital System Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29804 Lake Shore Blvd, Willowick, OH 44095 Phone: 440-585-3322 Fax: 440-585-1962 |