# FRANCISCAN LAKESHORE ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144866781
- **Authorized official:** DANIEL MCCORMICK MD (PRESIDENT/CEO)
- **Authorized official phone:** (219) 757-6104

## Contact information

- **Practice address:** 12800 MISSISSIPPI PKWY, CROWN POINT, IN 46307-6900
- **Practice address phone:** (219) 662-5560
- **Mailing address:** 12800 MISSISSIPPI PKWY, PAVILION C, CROWN POINT, IN 46307-6900
- **Mailing address phone:** (219) 757-6298

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 09/30/2021