Organization · Type 2 NPI

Lake Hospital System, Inc.

Vascular Surgery Physician · Warrensville Heights, OH

NPI number 1669609756 Active · reactivated Dec 20, 2011

Practice location

20050 Harvard Ave
Warrensville Heights, OH 44122-6816

Call (440) 953-1898 Map

Fax (440) 953-9296

Mailing address

PO Box 714328
Columbus, OH 43271-4328

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1669609756

Lake Hospital System, Inc.'s National Provider Identifier is 1669609756, issued on Jun 16, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Warrensville Heights, OH. The record was last updated on Dec 29, 2011.