Graduated: 1998
NPI: 1154563203
Practice Locations (4)
LAKE HOSPITAL SYSTEM, INC.
11100 EUCLID AVE
Cleveland, OH 441061716
LAKE HOSPITAL SYSTEM, INC.
11100 EUCLID AVE
CLEVELAND, OH 441061716
LAKE HOSPITAL SYSTEM, INC.
9485 MENTOR AVE
MENTOR, OH 440608723
LAKE HOSPITAL SYSTEM, INC.
36500 EUCLID AVE
WILLOUGHBY, OH 440944455
4405160530
Source: CMS National Downloadable File, September 2026.