Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1386696458 |
| LBN Legal business name | ENDOSCOPY CENTER OF LAKE COUNTY, LLC |
| Authorized official | ERICA WEHRMEISTER - (OFFICER/AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2006 |
| Last updated | 01/15/2025 - More than a year ago |
| Identifiers | n/a |
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