Organization
LIPPY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE THEODOSOPOULOS (CHIEF CLINICAL OFFICER)
(330) 260-7810
Entity
Organization
Contact information
Practice address
3893 E MARKET ST, WARREN, OH 44484-4706
(330) 856-3075
(330) 856-1187
Mailing address
3893 E MARKET ST, WARREN, OH 44484-4706
(330) 856-3075
(330) 856-1187
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
02/27/2024
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