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

Lake Orthopaedic Associates, Inc

Organization Orthopaedic Surgery Physician · NPI 1679592885

Lake Orthopaedic Associates, Inc is an Orthopaedic Surgery Physician in Willoughby, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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

36060 Euclid Ave Ste 104
Willoughby, OH 44094-4656
Phone: (440) 942-1050
Fax: (440) 942-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1679592885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Nahra — President · (440) 942-1050
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address36060 Euclid Ave, Suite 104, Willoughby, OH 44094-4656

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