Spring Lake Surgery Center, LLC
NPI #1457395493 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1457395493
- Entity Type
- Organization
- Organization Name
- Spring Lake Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 8711 LINE AVENUE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106
- Phone
- (318) 841-4486
Authorized Official
- Name
- DR. KENNETH W SANDERS, MD
- Title
- MD
- Phone
- (318) 841-4486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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