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

Lake Hospital System Inc

Organization Obstetrics & Gynecology Physician · NPI 1841234762

Lake Hospital System Inc is an Obstetrics & Gynecology 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

36001 Euclid Ave Ste C-7
Willoughby, OH 44094-4643
Phone: (440) 602-6710
Fax: (440) 602-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1841234762
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Ob/Gyn
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328

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