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Contact Information

LAKESHORE SURGICAL LLC
1207 N HOUSTON AVE
HUMBLE, TX77338-2591
 Phone: 832-916-2422
 Fax: 832-916-2522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LAKESHORE SURGICAL LLC · (Female)

NPI # 1801329321
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2017
Last updated 03/16/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 370843001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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