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Lake Park Surgicare, Llc
Ambulatory Surgical Clinic/Center in Hobart, Indiana
NPI 1073500930

Lake Park Surgicare, Llc is an Ambulatory Surgical Clinic/Center based in Hobart, IN and is specialized in Ambulatory Surgical. Lake Park Surgicare, Llc practices in Hobart, IN. The NPI Number for Lake Park Surgicare, Llc is 1073500930 and holds a License No. 261QA1903X (Indiana).

The current practice location address for Lake Park Surgicare, Llc is 7921 Grand Blvd, Hobart, IN and can be reached out via phone at 219-942-9600 and via fax at 219-947-9922.

Location: 7921 Grand Blvd, Hobart, IN, 46342-6663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073500930
Provider Name
Lake Park Surgicare, Llc
Credential
Provider Entity Type
Organization
Address
7921 Grand Blvd, Hobart, IN, 46342-6663
Phone Number
219-942-9600
Fax Number
219-947-9922
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000191299 01 IN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
7921 Grand Blvd
City
Hobart
State
Indiana
Zip
46342-6663
Phone Number
219-942-9600
Fax Number
219-947-9922
person
Provider Business Mailing Address Details
Address
7921 Grand Blvd
City
Hobart
State
Indiana
Zip
46342-6663
Phone Number
219-942-9600
Fax Number
219-947-9922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
261QA1903X (Indiana)
Definition
Definition to come...
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