| NPI | 1629079611 |
|---|---|
| Doing Business As | LAKESHORE SURGERY CENTER, LLP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P CONNELL Administrator 810-989-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 746818) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |