Organization · Type 2 NPI
Lake Pleasant Surgical Center LLC
Ambulatory Surgical Clinic/Center · Phoenix, AZ
NPI number
1902403736
Active
Practice location
15601 N 28th Ave Ste 101
Phoenix, AZ 85053-4061
Mailing address
10810 N Tatum Blvd Ste 102-855
Phoenix, AZ 85028-6055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1902403736
Lake Pleasant Surgical Center LLC's National Provider Identifier is 1902403736, issued on Oct 5, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 24, 2022.