Southern Lakes Endoscopy LLC

NPI #1851887715 in Mukwonago, Wisconsin

Provider Information

NPI Number
1851887715
Entity Type
Organization
Organization Name
Southern Lakes Endoscopy LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 3, 2018
Last Updated
Jan 8, 2025

Practice Location

Address
240 MAPLE AVE STE 2220
ZIP Code
53149-8475
Phone
(414) 454-0600

Authorized Official

Name
AMY JO BURNS
Title
DIRECTOR REVENUE CYCLE MANAGEMENT
Phone
(262) 970-7825

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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