National Provider Identifier Database

ST LUKES LAKESIDE HOSPITAL LLC
Special Hospital

A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.


Contact Information

ST LUKE'S LAKESIDE HOSPITAL, LLC
17400 ST. LUKE'S WAY
THE WOODLANDS, TX77384
Phone: 936-266-4055
Fax: 936-266-4051
Website:
Specialty Taxonomy Code
* Special Hospital 284300000X

* Indicates primary specialty

NPI Profile & details for ST LUKE'S LAKESIDE HOSPITAL, LLC

NPI Number 1184868879
Legal business name
LBN
ST LUKE'S LAKESIDE HOSPITAL, LLC
Authorized official MARY LIPHAM - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/24/2009
Last updated 01/06/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 160630301

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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