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

Lake Hospital System, Inc

Organization Internal Medicine Physician · NPI 1861420804

Lake Hospital System, Inc is an Internal Medicine Physician in Mentor, 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

9485 Mentor Ave #210
Mentor, OH 44060-4597
Phone: (440) 205-5745
Fax: (440) 205-5735
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1861420804
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLake Hospital System, Inc
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1051
Other names Primehealth Internal Medicine Mentor
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 6, 2007
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor