# LAFAYETTE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1588254791
- **Authorized official:** EDWARD KOWLOWITZ MD (OWNER)
- **Authorized official phone:** (317) 706-7246

## Contact information

- **Practice address:** 3738 LANDMARK DR STE C, LAFAYETTE, IN 47905-6655
- **Practice address phone:** (765) 807-2780
- **Practice address fax:** (317) 706-3417
- **Mailing address:** PO BOX 772723, DETROIT, MI 48277-2723
- **Mailing address phone:** (765) 807-2780
- **Mailing address fax:** (317) 706-3417

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 04/11/2023