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

Lake Hospital System

Organization Clinical Cardiac Electrophysiology Physician · NPI 1710295829

Lake Hospital System is a Clinical Cardiac Electrophysiology Physician in Willoughby, Ohio. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

36100 Euclid Ave Ste 400
Willoughby, OH 44094-4456
Phone: (440) 602-6735
Fax: (440) 946-3221
Show map & directions

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

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X

Record details

NPI number1710295829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Cfo · (440) 354-1642
Other names Lake Health Physician Group Electrophysiology
NPI enumeratedSeptember 23, 2010
Last updated in NPPESSeptember 23, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328