| NPI | 1477507168 |
|---|---|
| Doing Business As | LAKESIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN LEHR President 078-938-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-02-21 |