Organization · Type 2 NPI

Lake Hospital System Inc

Obstetrics & Gynecology Physician · Willoughby Hills, OH

NPI number 1699719518 Active

Practice location

35040 Chardon Rd, Bldg Vii #205
Willoughby Hills, OH 44094

Call (440) 918-4630 Map

Fax (440) 918-4632

Mailing address

PO Box 714328
Columbus, OH 43271-4328

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11 other providers at this address

NPI record

NPI: 1699719518
Entity type: Organization (Type 2)
Issued: Jun 15, 2006
Last updated: Sep 6, 2007
Status: Active
Subpart: Yes of Lake Hospital System, Inc.

Other names

<unavail>
Primehealth Womens Health Specialists · other name

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.

Is this your record? How to update it.

About NPI 1699719518

Lake Hospital System Inc's National Provider Identifier is 1699719518, issued on Jun 15, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Willoughby Hills, OH. The record was last updated on Sep 6, 2007.