Lake Country Surgical, PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0102200839 Issued in VA

Legal business name

LAKE COUNTRY SURGICAL, PLC

Practice address

416 Bracey LN
South Hill, VA 23970-1631

Phone

(434) 447-4736

Fax

(434) 447-4810

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Michael John Tozzi, D.O.

Title

President / Owner

Phone

(434) 447-4736

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1750395661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700850",
            "telephone_number": "434-447-4736",
            "fax_number": "434-447-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BRACEY LN",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701631",
            "telephone_number": "434-447-4736",
            "fax_number": "434-447-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY SURGICAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "TOZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "434-447-4736",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102200839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007313365",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rothea Kornelius, PT
• Amy Lacks, FNP-BC
• Lake Country Area Agency on Aging
• Lake Country Area Agency on Aging
• Lake Country Counseling LLC
• Lakeside Medical Associates PC
• Laura Smith, LPC Dba Windham Counseling Services LLC
• Kedar Sudhakar Lavingia
• Sabrina Leicht, PA-C
• Cecily Lewis

• Surgery Physician in South Hill, VA
• Providers in South Hill, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.