Organization
LPC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAZIA M SIDDIQUI M.D. (MANAGER)
(765) 714-4344
Entity
Organization
Contact information
Practice address
770 PARK EAST BLVD, SUITE A, LAFAYETTE, IN 47905-0786
(765) 714-4344
Mailing address
770 PARK EAST BLVD, SUITE A, LAFAYETTE, IN 47905-0786
(765) 714-4344
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
01059790A
IN
Other
Enumeration date
03/22/2016
Last updated
08/12/2016
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