# LAKEWALK SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1891730644
- **Authorized official:** MR. JOE R MAJERUS (ADMINISTRATOR)
- **Authorized official phone:** (218) 728-8505

## Contact information

- **Practice address:** 1420 LONDON RD, SUITE 100, DULUTH, MN 55805-2433
- **Practice address phone:** (218) 728-0650
- **Practice address fax:** (218) 728-8557
- **Mailing address:** 1420 LONDON RD, SUITE 100, DULUTH, MN 55805-2433
- **Mailing address phone:** (218) 728-0650
- **Mailing address fax:** (218) 728-8557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 331053 | MN | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020