LAKEWALK SURGERY CENTER INC. NPI 1891730644

NPI Information

LAKEWALK SURGERY CENTER, INC. is an ambulatory surgical clinic center in Duluth, MN. LAKEWALK SURGERY CENTER, INC. NPI is 1891730644. The provider is registered as an organization entity type.

The provider's business location address is:

1420 LONDON RD
SUITE 100
DULUTH, MN
ZIP 55805-433
Phone: (218) 728-0650
Fax: (218) 728-8557

The provider's authorized official is Joe R Majerus .
The authorized official title is Administrator and has the following contact phone number (218) 728-8505.

The CLIA number assigned to this NPI record is 24D0956842 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.

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:

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