Lake Surgical Associates, Llc

NPI 1275673865 - Surgery - 208600000X

NPI Details
NPI 1275673865
Enumeration Date 02/06/2007
Last Updated 03/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RUSSELL W RUSSELL
Position DOCTOR
Phone (219) 922-0222
Fax (219) 922-8899
Practice Location
10110 DONALD POWERS DR.
STE. 202
MUNSTER IN, 46321, US
Phone (219) 922-0222
Fax (219) 922-8899
Business Location
10110 DONALD POWERS DR.
STE. 202
MUNSTER IN, 46321, US
Phone (219) 922-0222
Fax (219) 922-8899
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Lake Surgical Associates, Llc NPI is 1275673865, taxonomy code is 208600000X Lake Surgical Associates, Llc physically located at 10110 Donald Powers Dr., Munster IN, 46321. NPI Number 1033115704 has the healthcare provider type.

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1275673865 NPI number is provided on an as is basis without warranty of any kind. 1275673865 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Surgical Associates, Llc are for informational purposes only.