Organization
LAKESIDE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S HARMON MD (MD)
(402) 397-7057
Entity
Organization
Contact information
Practice address
17001 LAKESIDE HILLS PLZ, SUITE 201, OMAHA, NE 68130
(402) 614-2300
(402) 505-4738
Mailing address
8901 INDIAN HILLS DR, SUITE 200, OMAHA, NE 68114
(402) 505-4713
(402) 505-4738
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC054
NE
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
01/29/2007
Last updated
05/08/2024
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