| NPI | 1881863637 |
|---|---|
| Doing Business As | LAKESHORE LAPAROSCOPIC BARIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RAGHU NAYAK President 773-761-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |