Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1998
NPI: 1114993029
Practice Locations (2)
LAKE HOSPITAL SYSTEM, INC.
9500 MENTOR AVE
MENTOR, OH 440608714
LAKE HOSPITAL SYSTEM, INC.
36500 EUCLID AVE
WILLOUGHBY, OH 440944455
4405160530
Source: CMS National Downloadable File, September 2026.