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

Lake Hospital System, Inc

Organization Surgery Physician · NPI 1124255278

Lake Hospital System, Inc is a Surgery Physician in Willoughby, Ohio. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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

36001 Euclid Ave B-3
Willoughby, OH 44094-4643
Phone: (440) 953-1898
Fax: (440) 953-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1124255278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Cicero — Sr. Vp, Business Development · (440) 354-1739
Other names Lake Health Physician Group Vascular Access Surgery
NPI enumeratedJune 16, 2009
Last updated in NPPESApril 25, 2011
Mailing addressPo Box 714328, Columbus, OH 43271-4328

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