Organization
LAKESIDE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MARSHALL DAUT MD (MEDICAL DIRECTOR)
(479) 442-5227
Entity
Organization
Contact information
Practice address
6845 ISAACS ORCHARD RD, SPRINGDALE, AR 72762
(473) 236-2766
Mailing address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703-4916
(473) 442-5227
(472) 582-4952
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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