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Organization

LAKEWAY AMBULATORY SURGERY CENTER, LLC

Active
Other names
Lakeway Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization

Contact information

Practice address
5329 SERENE HILLS DR STE 100, LAKEWAY, TX 78738-1257
(512) 357-8220
Mailing address
5329 SERENE HILLS DR STE 100, LAKEWAY, TX 78738-1257
(512) 357-8220

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
10/20/2016
Last updated
01/06/2023
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