Healthcare Provider Details

I. General information

NPI: 1174966196
Provider Name (Legal Business Name): LMK SURGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W THUNDERBIRD RD
GLENDALE AZ
85306-4622
US

IV. Provider business mailing address

22651 N 39TH PL
PHOENIX AZ
85050-5432
US

V. Phone/Fax

Practice location:
  • Phone: 573-381-0305
  • Fax: 480-393-1970
Mailing address:
  • Phone: 573-381-0305
  • Fax: 480-393-1970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER SCHWADER
Title or Position: OFFICE MANAGER
Credential:
Phone: 573-381-0305