Lakeside Ambulatory Surgical Center LLC
Lakeside Ambulatory Surgical Center LLC is an Ambulatory Surgical Clinic/Center in Omaha, Nebraska. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17030 Lakeside Hills Plz Ste 110Omaha, NE 68130-2440
Phone: (402) 758-5120
Fax: (402) 758-5087
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1528026788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Wagner — Ceo · (402) 758-5212 |
| NPI enumerated | May 3, 2006 |
| Last updated in NPPES | November 13, 2025 |
| Certification date | November 13, 2025 |
| Mailing address | 17030 Lakeside Hills Plz Ste 110, Omaha, NE 68130-2440 |
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