LAKE UROLOGY, LLC

MERRILLVILLE, IN
NPI1144532656
Entity TypeOrganization
Authorized ContactVICKI ORR
Biller
219-836-6241
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: IN  01036410A)
Enumeration Date2010-07-13
Last Update Date2010-07-13
Business Address
LAKE UROLOGY, LLC
8558 BROADWAY
MERRILLVILLE, IN 46410-7032
Phone number: 219-736-0616
Mailing Address
LAKE UROLOGY, LLC
PO BOX 3060
MUNSTER, IN 46321-0060
Phone number: 219-836-6241
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