OrganizationActive
Lake County Family Practice, LLC
NPI 1114057171 · Family Medicine Physician · Mentor, OH
Provider details
- NPI number
- 1114057171
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eileen Sraj, Office Manager(440) 352-4880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9500 Mentor Avenue
Suite 100
Mentor, OH 44060
Phone: (440) 352-4880
Fax: (440) 352-3629
Street-level locationGet directions
Mailing address
Po Box 75358
Cleveland, OH 44101-2199
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2008-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.