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

Lake Hospital System Inc

Organization Internal Medicine Physician · NPI 1164697629

Lake Hospital System Inc is an Internal Medicine Physician in Willoughby, Ohio. Registered with an NPI since 2008.

In the registry since
2008
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

2747 Som Center Rd
Willoughby, OH 44094-9164
Phone: (440) 354-1899
Fax: (440) 354-1089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164697629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Primehealth Internal Medicine Willoughby Hills
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 28, 2008
Mailing address10 E Washington St, Painesville, OH 44077-3460

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