| NPI | 1346594769 |
|---|---|
| Doing Business As | LINCOLN LAKES REGIONAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: ME 38835) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2024-10-23 |