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

Lake Hospital System, Inc

Organization Orthopaedic Surgery Physician · NPI 1003090689

Lake Hospital System, Inc is an Orthopaedic Surgery Physician in Willoughby, Ohio. Registered with an NPI since 2007.

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

36060 Euclid Ave Ste 203
Willoughby, OH 44094-4656
Phone: (440) 602-6670
Fax: (440) 602-6671
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1003090689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lake Health Physician Group
NPI enumeratedDecember 19, 2007
Last updated in NPPESApril 14, 2011
Mailing addressP.O. Box 714328, Columbus, OH 43271-4328

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