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Contact Information

LAKE HOSPITAL SYSTEM INC
9485 MENTOR AVE
101
MENTOR, OH44060
 Phone: 440-205-5800
 Fax: 440-205-5801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKE HOSPITAL SYSTEM INC · (Female)

NPI # 1013951920
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 09/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2017258
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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