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

Lake Hospital System, Inc

Organization Surgery Physician · NPI 1477844686

Lake Hospital System, Inc is a Surgery Physician in Mentor, Ohio. Registered with an NPI since 2011.

In the registry since
2011
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 300
Mentor, OH 44060-8713
Phone: (440) 354-0377
Fax: (440) 354-9368
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1477844686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Cicero — Sr. Vp, Business Development · (440) 354-1739
Other names Lake Health Physician Group Mentor General Surgery
NPI enumeratedApril 21, 2011
Last updated in NPPESApril 21, 2011
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor