Lakewalk Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKEWALK SURGERY CENTER, INC.

Practice address

1420 London Rd Ste 100
Duluth, MN 55805-2437

Phone

(218) 728-8505

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann Marie Fosness, RN

Title

Administrator

Phone

(218) 728-8505

Specialties & licenses 1

Addresses

Tax ID family

Lakewalk Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakewalk Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Duluth, MN
  • NPI 1891730644
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1023651916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD STE 100",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052437",
            "telephone_number": "218-728-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD STE 100",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052437",
            "telephone_number": "218-728-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWALK SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "FOSNESS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-728-8505",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Superior Physical Therapy Inc
• Lake Vision PLLC
• Ronald Lake, MSW LICSW
• Lakeside Dental Associates, PA
• Lakewalk Imaging, LLC
• Lakewalk Surgery Center, Inc.
• Lakewind, Inc
• Kimberly Jean Lakhan
• Frederick Reynold Lakso, PA
• Holly Laluzerne, MS ED.

• Ambulatory Surgical Clinic/Center in Duluth, MN
• Providers in Duluth, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.