Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakeside Heart and Lung Center, Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1417030982

Lakeside Heart and Lung Center, Inc provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services in Sandusky, Ohio. Registered with an NPI since 2006.

In the registry since
2006
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

703 Tyler St Stuite 252
Sandusky, OH 44870-3367 Not confirmed with CMS for 14 years — call before visiting
Phone: (419) 609-8000
Fax: (419) 609-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1417030982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Deriso — Director/ Owner · (419) 609-8000
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 23, 2012
Mailing address703 Tyler St, Ste 252, Sandusky, OH 44870-3367

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