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

Lake Hospital System, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1669783593

Lake Hospital System, Inc is a Sports Medicine (Family Medicine) 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

7956 Tyler Blvd
Mentor, OH 44060-4806
Phone: (440) 833-2010
Fax: (440) 833-2096
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1669783593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lhpg Tyler Sports Medicine
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328