Lagrange Surgery Center, LLC

NPI #1235372277 in Lagrange, Indiana

Provider Information

NPI Number
1235372277
Entity Type
Organization
Organization Name
Lagrange Surgery Center, LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Apr 7, 2009
Last Updated
Apr 7, 2009

Practice Location

Address
2500 VENTURA WAY
State
Indiana
ZIP Code
46761
Phone
(574) 296-6452

Authorized Official

Name
HAROON ANSARI-NAZ, PHD
Title
EXECUTIVE DIRECTOR/VICE PRESIDENT
Phone
(517) 202-7174

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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