Organization
LAKELINE EMERGENCY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CAMPBELL (CLAIMS ANALYST)
(512) 948-1752
Entity
Organization
Contact information
Practice address
1860 S. LAKELINE BLVD, CEDAR PARK, TX 78613
(512) 260-2732
Mailing address
1464 E WHITESTONE BLVD STE 1101, CEDAR PARK, TX 78613-9070
(512) 309-8925
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
TX
Other
Enumeration date
07/31/2018
Last updated
12/15/2022
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