NPI | 1013468586 |
---|---|
Doing Business As | LAKEWAY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2016-10-20 |
Last Update Date | 2023-01-06 |