NPI | 1922546530 |
---|---|
Doing Business As | LAKE ORTHOPEDIC AND SPINE |
Entity Type | Organization |
Authorized Contact | HAROON RASHID ANSARI CEO 219-796-4103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2017-02-02 |
Last Update Date | 2018-03-17 |