Organization
DL-JT MANAGEMENT SERVICES, LLC
Active
Other names
CENTENNIAL SURGERY CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LANZKOWSKY M.D. (OWNER)
(702) 839-1203
Entity
Organization
Contact information
Practice address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 507-0996
(702) 507-0992
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 507-0996
(702) 507-0992
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
09/27/2007
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