NPI | 1255110847 |
---|---|
Doing Business As | LIFESTYLE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | ARTHUR GIEBEL Managing Member 458-219-2733 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2023-09-25 |
Last Update Date | 2024-05-07 |