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

Lake Hospital System

Organization Family Medicine Physician · NPI 1326141987

Lake Hospital System is a Family Medicine Physician in Willowick, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
3

Practice location Address checks out

29804 Lakeshore Blvd
Willowick, OH 44095
Phone: (440) 833-2095
Fax: (440) 833-2096
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-084193 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 35-084193

Record details

NPI number1326141987
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Willowick Primary Care
NPI enumeratedSeptember 7, 2006
Last updated in NPPESApril 8, 2008
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Willowick