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

Lake Hospital System Inc

Organization Pediatrics Physician · NPI 1013951920

Lake Hospital System Inc is a Pediatrics Physician in Mentor, Ohio. Registered with an NPI since 2006.

In the registry since
2006
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

9485 Mentor Ave 101
Mentor, OH 44060
Phone: (440) 205-5800
Fax: (440) 205-5801
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1013951920
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Pediatrics Mentor
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor