EGNM LLC NPI 1275642480

NPI Information

EGNM LLC is an ambulatory surgical clinic center in Lewes, DE. EGNM LLC NPI is 1275642480. The provider is registered as an organization entity type.
The provider Is Doing Business As Lewes Surgery Center.

The provider's business location address is:

17015 OLD ORCHARD ROAD
UNIT 4
LEWES, DE
ZIP 19958
Phone: (302) 644-3466
Fax: (302) 258-0300

The provider's authorized official is Edmund Thomas Carroll .
The authorized official title is Owner/director and has the following contact phone number (302) 644-3311.

The CLIA number assigned to this NPI record is 08D1043077 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/13/2020.

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:

Other Identifiers

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