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

Lake Hospital System, Inc

Organization Pediatrics Physician · NPI 1912181595

Lake Hospital System, Inc is a Pediatrics Physician in Chardon, Ohio. Registered with an NPI since 2007.

In the registry since
2007
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 Fifth Ave
Chardon, OH 44024
Phone: (440) 279-1526
Fax: (440) 279-1527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1912181595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Primehealth Pediatrics Chardon
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing addressP.O. Box 714328, Columbus, OH 43271-4328

Other providers in Chardon