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SPRING LAKE SURGERY CENTER, LLC

Ambulatory Surgical

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Contact Information

SPRING LAKE SURGERY CENTER, LLC
8711 LINE AVENUE
SHREVEPORT, LA  71106
 Phone: 318-841-4486
 Fax: 318-841-4489
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

 261QA1903X 49 Ambulatory Surgical Center
 

Nurse Anesthetist, Certified Registered

 367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SPRING LAKE SURGERY CENTER, LLC

NPI # 1457395493
LBN Legal business name SPRING LAKE SURGERY CENTER, LLC
Authorized official KENNETH SANDERS - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 03/06/2020 - About 6 years ago
Identifiers
LA License # 017152
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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