SPRING LAKE SURGERY CENTER, LLC

SHREVEPORT, LA
NPI1457395493
Entity TypeOrganization
Authorized ContactKENNETH W SANDERS
Md
318-841-4486
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: LA  017152)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2006-06-16
Last Update Date2020-03-06
Business Address
SPRING LAKE SURGERY CENTER, LLC
8711 LINE AVENUE
SHREVEPORT, LA 71106
Phone number: 318-841-4486
Mailing Address
SPRING LAKE SURGERY CENTER, LLC
8711 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-841-4486