Organization
SLSC MEDICAL STAFF
Active
Parent organization
SPRING LAKE SURGERY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING LAKE SURGERY CENTER, LLC
Authorized official
DR. KENNETH W SANDERS MD (OWNER)
(318) 841-4486
Entity
Organization
Contact information
Practice address
8711 LINE AVE, SHREVEPORT, LA 71106-6813
(318) 841-4486
(318) 841-4489
Mailing address
8711 LINE AVE, SHREVEPORT, LA 71106-6813
(318) 698-8711
(318) 841-4489
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
09/20/2019
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