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

Lakeside Heart and Lung Center, Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1417030982

Lakeside Heart and Lung Center, Inc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Sandusky, 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

703 Tyler St Stuite 252
Sandusky, OH 44870-3367
Phone: (419) 609-8000
Fax: (419) 609-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1417030982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Deriso — Director/ Owner · (419) 609-8000
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 23, 2012
Mailing address703 Tyler St, Ste 252, Sandusky, OH 44870-3367

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