Organization
LIBERTY DIALYSIS - LAKELAND LLC
Active
Other names
Liberty Dialysis at Lakeland Royalton
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (VICE PRESIDENT)
(206) 236-5001
Entity
Organization
Contact information
Practice address
3772 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
(269) 428-7474
Mailing address
7650 SE 27TH ST, SUITE 200, MERCER ISLAND, WA 98040-3060
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
07/19/2017
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