Organization · Type 2 NPI

Lake Hospital System Inc

Family Medicine Physician · Chardon, OH

NPI number 1538101985 Active

Practice location

510 Fifth Avenue
Chardon, OH 44024

Call (440) 279-1528 Map

Fax (440) 279-1516

Mailing address

PO Box 714328
Columbus, OH 43271-4328

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Chardon

See all in Chardon →

NPI record

NPI: 1538101985
Entity type: Organization (Type 2)
Issued: Jun 11, 2006
Last updated: Sep 6, 2007
Status: Active
Subpart: Yes of Lake Hospital System, Inc.

Other names

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Primehealth Chardon Family Practice · doing business as

Authorized official

Mr. Robert Tracz
Chief Financial Officer
(440) 354-1051

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1538101985

Lake Hospital System Inc's National Provider Identifier is 1538101985, issued on Jun 11, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chardon, OH. The record was last updated on Sep 6, 2007.