Organization
LAKEPOINTE SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED BAUER (PRESIDENT)
(312) 560-6151
Entity
Organization
Contact information
Practice address
3452 N DAMEN AVE, CHICAGO, IL 60618-6106
(310) 971-3696
Mailing address
PO BOX 577233, CHICAGO, IL 60657-7324
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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