Graduated: 2019
NPI: 1649813700
Practice Locations (2)
LAKE HOSPITAL SYSTEM, INC.
8655 MARKET ST
MENTOR, OH 440604112
4402556400
LAKE HOSPITAL SYSTEM, INC.
36500 EUCLID AVE
WILLOUGHBY, OH 440944455
4405160530
Source: CMS National Downloadable File, September 2026.