Organization
LAFAYETTE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KOWLOWITZ MD (OWNER)
(317) 706-7246
Entity
Organization
Contact information
Practice address
3738 LANDMARK DR STE C, LAFAYETTE, IN 47905-6655
(765) 807-2780
(317) 706-3417
Mailing address
PO BOX 772723, DETROIT, MI 48277-2723
(765) 807-2780
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
04/11/2023
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