| 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 |