Organization
OUTPATIENT SURGERY CENTER OF LAKEWOOD LP
Active
Other names
Lakewood Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (VICE PRESIDENT)
(615) 344-5507
Entity
Organization
Contact information
Practice address
2201 WADSWORTH BLVD, LAKEWOOD, CO 80214-5708
(303) 234-0445
(303) 232-7182
Mailing address
2201 WADSWORTH BLVD, LAKEWOOD, CO 80214-5708
(303) 234-0445
(303) 232-7182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0672
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510038
—
CO
Enumeration date
04/07/2006
Last updated
10/13/2008
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