# LORAIN ASC LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Erie Shores Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942280870
- **Authorized official:** MRS. BILLIE PAYNE (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 3600 KOLBE RD, SUITE 019, LORAIN, OH 44053-1654
- **Practice address phone:** (440) 960-7277
- **Practice address fax:** (440) 960-7278
- **Mailing address:** 3600 KOLBE RD, SUITE 019, LORAIN, OH 44053-1654
- **Mailing address phone:** (440) 960-7277
- **Mailing address fax:** (440) 960-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0387AS | OH | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 09/07/2023
