Organization
ADVANCED LAPAROSCOPIC BARIATRIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN F. LANE MD (AUTHORIZED OFFICIAL)
(419) 373-7699
Entity
Organization
Contact information
Practice address
960 W WOOSTER ST, SUITE 116, BOWLING GREEN, OH 43402-2644
(419) 373-7699
(419) 354-7430
Mailing address
426 PINE VALLEY DR, BOWLING GREEN, OH 43402-5201
(419) 352-3067
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35.086946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510018
—
OH
Enumeration date
10/12/2006
Last updated
08/22/2020
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