LAKESHORE SURGICAL LLC NPI 1801329321

NPI Information

  • NPI: 1801329321
  • Provider Name: LAKESHORE SURGICAL LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 1207 N HOUSTON AVE
    HUMBLE, TX
    ZIP 77338
  • Phone: (832) 916-2422

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NPI Details

LAKESHORE SURGICAL LLC is a surgery in Humble, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LAKESHORE SURGICAL LLC NPI is 1801329321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1207 N HOUSTON AVE
HUMBLE, TX
ZIP 77338-591
Phone: (832) 916-2422
Fax: (832) 916-2522

The provider's authorized official is Angela Michelle Lewis-traylor .
The authorized official title is Ceo and has the following contact phone number (832) 916-2422.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 3/16/2022.

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
12086X0206XSurgerySurgical OncologyNo
2208600000XSurgeryYes

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
1370843001MEDICAIDTEXAS

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: 11/21/2025

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