# ADVANCED LAPAROSCOPIC BARIATRIC SURGERY ASSOCIATES

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

## Provider details

- **NPI number:** 1407945926
- **Authorized official:** DR. BRIAN F. LANE MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (419) 373-7699

## Contact information

- **Practice address:** 960 W WOOSTER ST, SUITE 116, BOWLING GREEN, OH 43402-2644
- **Practice address phone:** (419) 373-7699
- **Practice address fax:** (419) 354-7430
- **Mailing address:** 426 PINE VALLEY DR, BOWLING GREEN, OH 43402-5201
- **Mailing address phone:** (419) 352-3067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 35.086946 | OH | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020
