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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