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General NPI Number Information
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NPI Number | 1972689172
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Entity Type | Organization
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Legal Business Name | LAKE HOSPITAL SYSTEM INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 36000 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4662
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Country | US
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Telephone | 440-953-9600
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Fax | 440-953-6081
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Provider Business Mailing Address
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Address Line | PO BOX 772930
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City | DETROIT
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State | MI
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Zip | 48277-2930
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Country | US
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Telephone | 440-953-9600
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Fax | 440-953-6081
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Authorized Official
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Title or Position | DIRECTOR OF FINANCIAL PLANNING
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Name | MR. ANTHONY SCHRILLERO
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Credential |
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Telephone | 216-767-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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