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 1689634966

Lake Hospital System, Inc is a Family Medicine Physician in Chardon, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

510 5th Ave
Chardon, OH 44024-1077
Phone: (440) 286-8908
Fax: (440) 257-1527
Show map & directions

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

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1689634966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Cfo · (440) 354-1952
Other names Lake Health Urgent Care And Walk In Clinic
NPI enumeratedMarch 23, 2006
Last updated in NPPESFebruary 17, 2017
Mailing addressPo Box 781348, Detroit, MI 48278-4110

Other providers in Chardon