# LIPPY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1558451583
- **Authorized official:** KELLY MARIE THEODOSOPOULOS (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (330) 260-7810

## Contact information

- **Practice address:** 3893 E MARKET ST, WARREN, OH 44484-4706
- **Practice address phone:** (330) 856-3075
- **Practice address fax:** (330) 856-1187
- **Mailing address:** 3893 E MARKET ST, WARREN, OH 44484-4706
- **Mailing address phone:** (330) 856-3075
- **Mailing address fax:** (330) 856-1187

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 02/27/2024