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

Lake Hospital System

Organization Registered Dietitian · NPI 1255394136

Lake Hospital System is a Registered Dietitian in Willoughby, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone: (440) 953-6082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1255394136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Cfo · (440) 354-1990
NPI enumeratedApril 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 714031, Columbus, OH 43271-4031

Other providers in Willoughby