Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Surgical LLC

Organization Surgery Physician · NPI 1801329321

Lakeshore Surgical LLC is a Surgery Physician in Humble, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1207 N Houston Ave
Humble, TX 77338-2591
Phone: (832) 916-2422
Fax: (832) 916-2522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Surgical Oncology Physician Taxonomy 2086X0206X

Record details

NPI number1801329321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Lewis-Traylor — Ceo · (832) 916-2422
NPI enumeratedApril 11, 2017
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address1207 N Houston Ave, Humble, TX 77338-2591

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