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

Lake Hospital System Inc

Organization Obstetrics & Gynecology Physician · NPI 1699719518

Lake Hospital System Inc is an Obstetrics & Gynecology Physician in Willoughby Hills, 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

35040 Chardon Rd Bldg Vii #205
Willoughby Hills, OH 44094
Phone: (440) 918-4630
Fax: (440) 918-4632
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1699719518
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Womens Health Specialists
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328