Organization
LEWISVILLE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART LIPTON M.D. (PRESIDENT)
(972) 420-0023
Entity
Organization
Contact information
Practice address
591 W MAIN ST, LEWISVILLE, TX 75057-3628
(972) 420-0023
(888) 770-6360
Mailing address
9720 COIT RD, STE. 220 # 336, PLANO, TX 75025-5833
(972) 420-0023
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45C1237
MEDICARE
TX
01
—
HH1525
BCBS
TX
Enumeration date
10/24/2006
Last updated
04/20/2015
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