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Organization
LAKE GEORGE SURGERY CENTER, LLC
Active
Organization
LAKE GEORGE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MECCIA RNBC, BSN, CNOR (RN ADMINISTRATOR)
(517) 462-8283
Entity
Organization
Contact information
Practice address
6245 N OLD 27 STE A10, FREMONT, IN 46737-8707
(517) 462-8283
Mailing address
302 N FISKE RD, COLDWATER, MI 49036-9138
(517) 462-8283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/24/2020
Last updated
09/25/2020
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