OrganizationActive
Lake Hospital System, Inc.
NPI 1174844724 · Plastic and Reconstructive Surgery Physician · Mentor, OH
Provider details
- NPI number
- 1174844724
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Tracz, Chief Financial Officer(440) 354-1642
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9500 Mentor Ave
Suite 200
Mentor, OH 44060-8713
Phone: (440) 205-5433
Fax: (440) 205-5451
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 714328
Columbus, OH 43271-4328
Other names (DBA / former)
- Doing business as
- Lake Health Physician Group Plastic Surgery
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.