LOURDES DIALYSIS LLC NPI 1093294548

NPI Information

LOURDES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Clermont, FL. LOURDES DIALYSIS LLC NPI is 1093294548. The provider is registered as an organization entity type.
The provider Is Doing Business As Clermont Dialysis.

The provider's business location address is:

1350 N HANCOCK RD
CLERMONT, FL
ZIP 34711-952
Phone: (352) 394-0072
Fax: (352) 241-0433

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 10D2145714 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 3/29/2021.

Taxonomy Codes

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