OrganizationActive
Lake Ent Inc
NPI 1124235346 · Otolaryngology Physician · Willoughby, OH
Provider details
- NPI number
- 1124235346
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khalil Azem, President(440) 942-9308
- License
- 054514 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
36100 Euclid Ave
#350
Willoughby, OH 44094-4456
Phone: (440) 942-9308
Fax: (440) 942-8981
Street-level locationGet directions
Mailing address
36100 Euclid Ave
Willoughby, OH 44094-4456
Other names (DBA / former)
- Doing business as
- Khalil Azem MD
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.