LAKESIDE SURGERY CENTER – NPI #1477507168
Clinic/Center

LAKESIDE SURGERY CENTER is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1477507168 to LAKESIDE SURGERY CENTER on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESIDE SURGERY CENTER” is a dba name, the actual legal business name for this organization is LAKESIDE SURGERY LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Feb 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE SURGERY CENTER below.

NPI Profile for
LAKESIDE SURGERY LLC

NPI Number
1477507168
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE SURGERY LLC
Doing Business As (dba): LAKESIDE SURGERY CENTER
Primary location
1825 N MILLS AVE
ORLANDO, FL 32803
Phone: (407) 206-2375 Fax: (407) 206-2377
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN LEHR
PRESIDENT
Phone: 0789382004
Updated
Certification Date
Feb 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAKESIDE SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSFL638
OTHERMEDICARE RAILROADFL490003489
OTHERWELLCAREFL306
MEDICAIDFL079231400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.