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

Lake Hospital System, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1174844724

Lake Hospital System, Inc is a Plastic and Reconstructive Surgery Physician in Mentor, Ohio. Registered with an NPI since 2010.

In the registry since
2010
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

9500 Mentor Ave Ste 200
Mentor, OH 44060-8713
Phone: (440) 205-5433
Fax: (440) 205-5451
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1174844724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lake Health Physician Group Plastic Surgery
NPI enumeratedJune 17, 2010
Last updated in NPPESJune 17, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor