# ASCENSION SAINT THOMAS LEBANON SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lebanon Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063099190
- **Authorized official:** KRISTEN O'CONNOR (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 376-7315

## Contact information

- **Practice address:** 101 PHYSICIANS WAY STE 114, LEBANON, TN 37090-8134
- **Practice address phone:** (615) 449-0990
- **Mailing address:** 101 PHYSICIANS WAY STE 114, LEBANON, TN 37090-8134
- **Mailing address phone:** (615) 784-4718
- **Mailing address fax:** (615) 784-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 09/05/2024