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

Lake ENT Inc

Organization Otolaryngology Physician · NPI 1124235346

Lake ENT Inc is an Otolaryngology Physician in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
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

36100 Euclid Ave #350
Willoughby, OH 44094-4456
Phone: (440) 942-9308
Fax: (440) 942-8981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 054514 (OH)

Record details

NPI number1124235346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khalil Azem — President · (440) 942-9308
Other names Khalil Azem Md
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address36100 Euclid Ave, 350, Willoughby, OH 44094-4456

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