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

Lake Hospital System, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1669783593

Lake Hospital System, Inc provides Sports Medicine (Family Medicine) 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

7956 Tyler Blvd
Mentor, OH 44060-4806 Not confirmed with CMS for 16 years — call before visiting
Phone: (440) 833-2010
Fax: (440) 833-2096
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1669783593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lhpg Tyler Sports Medicine
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010
Mailing addressPo Box 714328, Columbus, OH 43271-4328