LAKE SURGERY & ENDOSCOPY CENTER LTD NPI 1235165531

NPI Information

NPI: 1235165531
Provider Name: LAKE SURGERY & ENDOSCOPY CENTER LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0907064

Address:
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL
ZIP 34788
Phone: (352) 323-8868
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LAKE SURGERY & ENDOSCOPY CENTER LTD is an ambulatory surgical clinic center in Leesburg, FL. LAKE SURGERY & ENDOSCOPY CENTER LTD NPI is 1235165531. The provider is registered as an organization entity type.

The provider's business location address is:

8110 COUNTY ROAD 44 LEG A
LEESBURG, FL
ZIP 34788-704
Phone: (352) 323-8868
Fax: (352) 323-1691

The provider's authorized official is Lily Tran .
The authorized official title is Doctor and has the following contact phone number (352) 323-8868.

The CLIA number assigned to this NPI record is 10D0907064 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 1/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	845	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1244	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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