=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780958207
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LANCASTER SURGERY CENTER, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2012
-----------------------------------------------------
Last Update Date | 03/01/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 676 E MAIN ST
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43130-3906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-681-1911
-----------------------------------------------------
Fax | 740-654-7109
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 676 E MAIN ST
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43130-3906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-681-1911
-----------------------------------------------------
Fax | 740-654-7109
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. HARMEET CHAWLA
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 740-477-7200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------