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

Lake Hospital System, Inc

Organization Family Medicine Physician · NPI 1821253048

Lake Hospital System, Inc provides Family Medicine Physician services in Mentor, Ohio. Registered with an NPI since 2008.

In the registry since
2008
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 100
Mentor, OH 44060-8713 Not confirmed with CMS for 18 years — call before visiting
Phone: (440) 352-4880
Fax: (440) 352-3629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1821253048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tracz — Chief Financial Officer · (440) 354-1642
Other names Lake County Family Practice
NPI enumeratedJuly 28, 2008
Last updated in NPPESJuly 28, 2008
Mailing addressPo Box 715165, Columbus, OH 43271-0001

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