Organization
ST LUKE'S LAKESIDE HOSPITAL, LLC
Active
Parent organization
ST LUKE'S HEALTH SYSTEM,
Other names
St Luke's Lakeside Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S HEALTH SYSTEM,
Authorized official
MRS. MARY SUE LIPHAM (CHIEF FINANCIAL OFFICER)
(936) 266-2030
Entity
Organization
Contact information
Practice address
17400 ST. LUKE'S WAY, THE WOODLANDS, TX 77384
(936) 266-4055
(936) 266-4051
Mailing address
17400 ST. LUKE'S WAY, THE WOODLANDS, TX 77384
(936) 266-4055
(936) 266-4051
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160630301
—
TX
Enumeration date
04/24/2009
Last updated
01/06/2015
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