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

Lake Hospital System, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1174844724

Lake Hospital System, Inc provides Plastic and Reconstructive Surgery Physician services in Mentor, Ohio. Registered with an NPI since 2010.

In the registry since
2010
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

9500 Mentor Ave Ste 200
Mentor, OH 44060-8713 Not confirmed with CMS for 16 years — call before visiting
Phone: (440) 205-5433
Fax: (440) 205-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1174844724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lake Health Physician Group Plastic Surgery
NPI enumeratedJune 17, 2010
Last updated in NPPESJune 17, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328

Other providers in Mentor