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

Lake Hospital System, Inc

Organization Family Medicine Physician · NPI 1174762512

Lake Hospital System, Inc provides Family Medicine Physician services in Perry, Ohio. Registered with an NPI since 2009.

In the registry since
2009
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

2 Success Blvd
Perry, OH 44081 Not confirmed with CMS for 17 years — call before visiting
Phone: (440) 375-8590
Fax: (440) 259-2106
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174762512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Primehealth Perry Health And Wellness Center
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 9, 2009
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Perry