Lakeshore Surgical LLC

NPI #1801329321 in Humble, Texas

Provider Information

NPI Number
1801329321
Entity Type
Organization
Organization Name
Lakeshore Surgical LLC
Primary Specialty
Surgery
Enumeration Date
Apr 11, 2017
Last Updated
Mar 16, 2022

Practice Location

Address
1207 N HOUSTON AVE
City
Humble
State
Texas
ZIP Code
77338-2591
Phone
(832) 916-2422

Authorized Official

Name
DR. ANGELA MICHELLE LEWIS-TRAYLOR, MD
Title
CEO
Phone
(832) 916-2422

Specialties & Taxonomy Codes

Specialty
Surgery - Surgical OncologySurgical Oncology
Surgery

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