Organization
LAKE GEORGE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MECCIA RNBC, BSN, CNOR (RN ADMINISTRATOR)
(517) 462-8283
Entity
Organization
Contact information
Practice address
6245 N OLD 27 STE A10, FREMONT, IN 46737-8707
(517) 462-8283
Mailing address
302 N FISKE RD, COLDWATER, MI 49036-9138
(517) 462-8283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
09/25/2020
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