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General NPI Number Information
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NPI Number | 1902981558
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Entity Type | Organization
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Legal Business Name | LANE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 920 COUNTRY CLUB RD STE 220B
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City | EUGENE
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State | OR
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Zip | 97401-6090
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Country | US
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Telephone | 541-342-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 920 COUNTRY CLUB RD STE 220B
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City | EUGENE
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State | OR
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Zip | 97401-6090
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Country | US
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Telephone | 541-342-6699
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | MRS. LISA K LINDEN
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Credential |
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Telephone | 541-687-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 071531
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License Number State | OR
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