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 1508800426

Lake Hospital System Inc is a Surgery Physician in Willoughby, 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.

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Practice location Address checks out

36060 Euclid Ave Ste 204
Willoughby, OH 44094-4656
Phone: (440) 602-6553
Fax: (440) 602-6566
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 number1508800426
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Surgery
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 10, 2007
Mailing addressPo Box 714328, Columbus, OH 73271-4328

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