Organization
LAKESHORE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MICHELLE LEWIS-TRAYLOR MD (CEO)
(832) 916-2422
Entity
Organization
Contact information
Practice address
1207 N HOUSTON AVE, HUMBLE, TX 77338-2591
(832) 916-2422
(832) 916-2522
Mailing address
1207 N HOUSTON AVE, HUMBLE, TX 77338-2591
(832) 916-2422
(832) 916-2522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370843001
—
TX
Enumeration date
04/11/2017
Last updated
03/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us