Kentucky Lake Surgery Center LLC
NPI #1033102397 in Paris, Tennessee
Provider Information
- NPI Number
- 1033102397
- Entity Type
- Organization
- Organization Name
- Kentucky Lake Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Jan 28, 2011
Practice Location
Authorized Official
- Name
- KAROLYN M MOBLEY
- Title
- ADMINISTRATOR
- Phone
- (731) 644-2150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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