Lakeshore Tubal Reversal Center
Lakeshore Tubal Reversal Center is an Ambulatory Surgical Clinic/Center in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2320 Limestone PkwyGainesville, GA 30501
Phone: (877) 588-5594
Fax: (770) 531-0053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence GA LIC 022231 (GA) |
|---|---|
| Ambulatory Surgical Clinic/Center | Taxonomy 261QA1903X · Licence DEA AG5691452 (GA) |
Record details
| NPI number | 1457425159 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cecilia Bates — Office Manager · (770) 531-1181 |
| Other names | Lakeshore Surgical Center |
| NPI enumerated | November 17, 2006 |
| Last updated in NPPES | March 10, 2009 |
| Mailing address | 2320 Limestone Parkway, Gainesville, GA 30501 |
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