Lakeside Surgery, P.a.

NPI #1851489520 in Rockwall, Texas

Provider Information

NPI Number: 1851489520
Entity Type: Organization
Organization Name: Lakeside Surgery, P.a.
Primary Specialty: Specialist
Enumeration Date: Oct 10, 2006
Last Updated: Jun 7, 2013

Practice Location

Address: 3142 HORIZON RD
Address 2: SUITE 206
City: Rockwall
State: Texas
ZIP Code: 75032-7809
Phone: (972) 722-3290

Authorized Official

Name: KATHERINE R MAKOHON, MD
Title: SURGEON/OWNER
Phone: (972) 722-3290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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