Organization
LAKEWALK SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE FOSNESS RN (ADMINISTRATOR)
(218) 728-8505
Entity
Organization
Contact information
Practice address
1420 LONDON RD STE 100, DULUTH, MN 55805-2437
(218) 728-8505
Mailing address
1420 LONDON RD STE 100, DULUTH, MN 55805-2437
(218) 728-8505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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