| NPI | 1134586852 |
|---|---|
| Doing Business As | LAKESHORE SURGERY CENTER, LLP |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Chief Compliance Counsel 909-235-4307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 746818) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |