| NPI | 1356088512 |
|---|---|
| Former Legal Business Name | LAKES ANESTHESIA LLC |
| Entity Type | Organization |
| Authorized Contact | DAMARYS VEGA Owner 305-403-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |