# LOURDES SURGICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1922301324
- **Authorized official:** SHANNON LEWIS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (856) 796-9356

## Contact information

- **Practice address:** 120 WHITE HORSE PIKE, SUITE 103, HADDON HEIGHTS, NJ 08035-1938
- **Practice address phone:** (856) 546-3900
- **Mailing address:** 120 WHITE HORSE PIKE, SUITE 103, HADDON HEIGHTS, NJ 08035-1938
- **Mailing address phone:** (856) 546-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 26NNO8583700 | NJ | Yes |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 12/08/2010