Organization
NORTHERN LAKES SURGERY CENTER, LLC
Active
Organization
NORTHERN LAKES SURGERY CENTER, LLC
Active
Other names
Hayden Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROBERT REES LYMAN (OWNER AND PHYSICIAN)
(208) 758-0719
Entity
Organization
Contact information
Practice address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
(208) 457-4211
Mailing address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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