LPC SURGERY CENTER LLC NPI 1447612114

NPI Information

LPC SURGERY CENTER LLC is an ambulatory surgical clinic center in Lafayette, IN. LPC SURGERY CENTER LLC NPI is 1447612114. The provider is registered as an organization entity type.

The provider's business location address is:

770 PARK EAST BLVD
SUITE A
LAFAYETTE, IN
ZIP 47905-786
Phone: (765) 714-4344

The provider's authorized official is Shazia M Siddiqui .
The authorized official title is Manager and has the following contact phone number (765) 714-4344.

The CLIA number assigned to this NPI record is 15D2105540 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 8/12/2016.

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:

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