Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake County Internal Medicine, Inc

Organization Internal Medicine Physician · NPI 1922799378

Lake County Internal Medicine, Inc is an Internal Medicine Physician in Mentor, Ohio. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9485 Mentor Ave Ste 104
Mentor, OH 44060-8722
Phone: (440) 205-5770
Fax: (440) 701-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1922799378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haitham Kousa — Owner · (440) 681-0300
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address587 Charles Pl, Highland Heights, OH 44143-1949

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