Organization · Type 2 NPI

Lake Hospital System, Inc.

Vascular Surgery Physician · Willoughby, OH

NPI number 1124255278 Active

Practice location

36001 Euclid Ave, B-3
Willoughby, OH 44094-4643

Call (440) 953-1898 Map

Fax (440) 953-9296

Mailing address

PO Box 714328
Columbus, OH 43271-4328

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

18 other providers at this address

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About NPI 1124255278

Lake Hospital System, Inc.'s National Provider Identifier is 1124255278, issued on Jun 16, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Willoughby, OH. The record was last updated on Apr 25, 2011.