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Organization
LINCOLNWAY SURGICAL ASSISTANTS L.L.C.
Active
Organization
LINCOLNWAY SURGICAL ASSISTANTS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUXIA JIANG PH.D. (CHIEF EXECUTIVE OFFICER)
(507) 383-3279
Entity
Organization
Contact information
Practice address
624 LILAS CT, NEW LENOX, IL 60451-3453
(507) 383-3279
Mailing address
624 LILAS CT, NEW LENOX, IL 60451-3453
(507) 383-3279
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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