# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROLIANCE SURGEONS, INC. P.S.
- **Other names:** Lakewood Surgery Center (FKA), Proliance Puget Sound Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194727883
- **Legal business name:** PROLIANCE SURGEONS, INC. P.S.
- **Authorized official:** CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 7308 BRIDGEPORT WAY W STE 102, LAKEWOOD, WA 98499-8000
- **Practice address phone:** (253) 584-5252
- **Practice address fax:** (253) 582-1617
- **Mailing address:** 7308 BRIDGEPORT WAY W STE 102, LAKEWOOD, WA 98499-8000
- **Mailing address phone:** (253) 584-5252
- **Mailing address fax:** (253) 582-1617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601484763 | WA | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 12/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043206 | — | WA |
| 01 | — | 223794 | WA LABOR & INDUSTRIES | WA |
| 01 | — | 612815300 | OWCP | — |