OrganizationActive
Lake Ent Inc
NPI 1124235346 · Otolaryngology Physician · Willoughby, OH
Lake Ent Inc is a Otolaryngology Physician organization in Willoughby, OH (NPI 1124235346).
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(90/100 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
Frequently asked questions
- What is Lake Ent Inc's NPI number?
- Lake Ent Inc's National Provider Identifier (NPI) is 1124235346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ent Inc?
- Lake Ent Inc is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Ent Inc located?
- Lake Ent Inc's practice location on file with NPPES is 36100 Euclid Ave, Willoughby, OH 44094-4456.
- What is Lake Ent Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Ent Inc is (440) 942-9308.
- Who is the authorized official for Lake Ent Inc?
- The authorized official listed on Lake Ent Inc's NPPES record is Khalil Azem, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ent Inc's NPI active?
- Yes — Lake Ent Inc's NPI (1124235346) is active in the NPPES registry as of the last update on 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.