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

Lake Hospital System Inc

Organization Family Medicine Physician · NPI 1366484818

Lake Hospital System Inc is a Family Medicine 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.

See every abbreviation used in this directory →

Practice location Address checks out

6990 Lindsay Dr #3
Mentor, OH 44060-4981
Phone: (440) 255-7938
Fax: (440) 255-9196
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366484818
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Family Practice Mentor
NPI enumeratedJune 11, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor