Organization
LORAIN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN SIKORA RN (CLINICAL DIRECTOR)
(440) 245-0016
Entity
Organization
Contact information
Practice address
4804 LEAVITT RD, STE B, LORAIN, OH 44053-2139
(440) 245-0016
(440) 989-1335
Mailing address
4804 LEAVITT RD, STE B, LORAIN, OH 44053-2139
(440) 245-0016
(440) 989-1335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0761AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255961
RAILROAD MEDICARE
OH
05
—
2599719
—
OH
01
—
3798527
ANTHEM
OH
01
—
7880730
AETNA
OH
Enumeration date
01/19/2006
Last updated
08/22/2020
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