Healthcare Provider Details

I. General information

NPI: 1336575992
Provider Name (Legal Business Name): LMK SURGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22651 N 39TH PL
PHOENIX AZ
85050-5432
US

IV. Provider business mailing address

PO BOX 1288
CROSBY TX
77532-1288
US

V. Phone/Fax

Practice location:
  • Phone: 281-324-5660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: LISA KILL
Title or Position: OWNER
Credential:
Phone: 480-596-8525