Organization · Type 2 NPI
Lakeshore Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dayton, OH
NPI number
1427399369
Active
Practice location
4750 N Main St
Dayton, OH 45405-5021
Fax (937) 278-5722
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1427399369
Lakeshore Dialysis LLC's National Provider Identifier is 1427399369, issued on Mar 1, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dayton, OH. The record was last updated on Sep 5, 2025.