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

Lake Pulmonary Care Inc

Organization Pulmonary Disease Physician · NPI 1912214701

Lake Pulmonary Care Inc provides Pulmonary Disease Physician services in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2010.

Licensed in
OH
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

4212 State Route 306 #110
Willoughby, OH 44094-9258 Not confirmed with CMS for 15 years — call before visiting
Phone: (440) 953-9135
Fax: (440) 269-1338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 35043692 (OH)

Record details

NPI number1912214701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Dinga — President · (440) 446-1423
NPI enumeratedSeptember 1, 2010
Last updated in NPPESMarch 17, 2011
Mailing address1450 Som Center Rd, 25, Mayfield Hts, OH 44124-2118

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