NPI | 1467415950 |
---|---|
Doing Business As | LAKEWOOD SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | DON LIEDTKE Vice President 615-344-5507 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0672) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2008-10-13 |