Lake Hospital System
May also be knows as Primehealth Willowick Primary Care
Family Medicine Physician in Willowick, OH(View on Map)
Legal Business Name
Lake Hospital System
Also Known As
Primehealth Willowick Primary Care
NPI Number
1326141987
NPI Type
Organization
Enumeration Date
09/07/2006
Specialties
(Taxonomies)Code
207Q00000X
207R00000X
208000000X
Primary Taxonomy
Yes
No
No
Licenses
State
Ohio
License Number
35-084193
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 714328
29804 LAKESHORE BLVD
City
Columbus
Willowick
State
OH
OH
Postal Code
43271-4328
44095
Country
US
US
Telephone Number
(800) 354-1985
(440) 833-2095
Authorized Official
Name
Mr. Robert Tracz
Title or Position
CHIEF FINANCIAL OFFICER
Telephone Number
(440) 354-1051
Identifiers
Identifier
2694259
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/08/2008
Provider Address
Other Family Medicine Physician in Willowick, Ohio:
Lake Hospital System Inc.
May also be known as Lake Health Urgent Care And Walk In Center
Willowick, OHSpecialties: Urgent Care Clinic/Center (Primary)Family Medicine PhysicianGeneral Practice PhysicianInternal Medicine Physician