| NPI | 1336103001 |
|---|---|
| Doing Business As | LAKE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANN L. HEINE Administrator 225-408-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 116) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-01-18 |