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1720259146
LAKE UROLOGY LLC
MUNSTER, IN
NPI
1720259146
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Entity Type
Organization
Authorized Contact
VICKI ORR
Biller
219-836-6241
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 01036410A)
Enumeration Date
2008-03-13
Last Update Date
2010-09-14
Business Address
LAKE UROLOGY LLC
929 RIDGE RD STE 1
MUNSTER, IN 46321-1769
Phone number: 219-836-6241
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Mailing Address
LAKE UROLOGY LLC
PO BOX 3060
MUNSTER, IN 46321-0060
Phone number: 219-836-6241
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