| NPI | 1659365013 |
|---|---|
| Doing Business As | LEES SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | THEODORE A. JACKSON President 304-342-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-03-10 |