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1760423297
LAKESIDE SURGERY CENTER LP
GLENDALE, CA
NPI
1760423297
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Entity Type
Organization
Authorized Contact
LISA R DEBRUNO
Administrator
818-637-7766
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2006-06-08
Last Update Date
2007-12-13
Business Address
LAKESIDE SURGERY CENTER LP
5700 SAN FERNANDO RD
GLENDALE, CA 91202-2104
Phone number: 818-637-7766
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Mailing Address
LAKESIDE SURGERY CENTER LP
5700 SAN FERNANDO RD
GLENDALE, CA 91202-2104
Phone number: 818-637-7766
Copy
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