| NPI | 1609835438 |
|---|---|
| Doing Business As | LAKEPORT DIALYSIS CENTER |
| 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: CA 110000436) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-02-14 |