NPI 1083031223

Lourdes Dialysis, LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Lake Mary, FL

Practice location

Address: 39 Skyline Dr STE 1001, Lake Mary, FL 32746-7123
Phone: (407) 833-8667
Fax: (407) 833-8672
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T. Wey
Title: Vp, Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1083031223
Entity type: Organization
NPI issued: 26 Mar 2014
Record last updated: 12 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.