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 1710207329

Lake Hospital System, Inc is an Obstetrics & Gynecology 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

9485 Mentor Ave Ste 202
Mentor, OH 44060-4597
Phone: (440) 205-5862
Fax: (440) 205-5861
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 number1710207329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lake Health Physician Group Ob/Gyn
NPI enumeratedJune 4, 2010
Last updated in NPPESJune 4, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328

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