Graduated: 1997
NPI: 1710181532
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.
9500 MENTOR AVE
MENTOR, OH 440608714
LAKE HOSPITAL SYSTEM, INC.
36500 EUCLID AVE
WILLOUGHBY, OH 440944455
4405160530
Source: CMS National Downloadable File, September 2026.