NPI | 1265487474 |
---|---|
Doing Business As | LAKEWOOD SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | KELLY SKELLY Executive Director 218-326-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-01-29 |