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Organization
LAKEWAY AMBULATORY SURGERY CENTER, LLC
Active
Organization
LAKEWAY AMBULATORY SURGERY CENTER, LLC
Active
Other names
Lakeway Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
5329 SERENE HILLS DR STE 100, LAKEWAY, TX 78738-1257
(512) 357-8220
Mailing address
5329 SERENE HILLS DR STE 100, LAKEWAY, TX 78738-1257
(512) 357-8220
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
01/06/2023
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