NPI | 1679526297 |
---|---|
Doing Business As | LAKES SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 63-6923) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-01-04 |