| Organization Name: | LAKEVIEW SURGERY CENTER LC |
| NPI Number: | 1003807835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL P MOHAN (BOARD CHAIR) |
| Mailing Address: | 1750 60th Street West Des Moines |
| State: | IA US |
| Postal Code: | 50266 |
| Phone Number: | 5152735240 |
| Fax Number: | 5152735241 |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |