Organization
CITRUS UROLOGY CENTER, INC.
Active
Other names
LECANTO SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAYNE LOWREY (ADMINISTRATOR)
(352) 527-0102
Entity
Organization
Contact information
Practice address
3075 W GULF TO LAKE HWY, LECANTO, FL 34461-9228
(352) 527-0102
(352) 527-8863
Mailing address
3075 W GULF TO LAKE HWY, PO BOX 1420, LECANTO, FL 34461-9228
(352) 527-0102
(352) 527-8863
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079242000
—
FL
Enumeration date
01/26/2006
Last updated
05/02/2012
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