Advanced Laparoscopic Bariatric Surgery Associates
Clinic/Center, Medical Specialty in Bowling Green, OH. Organization (NPI-2).
NPI number1407945926
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407945926
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Laparoscopic Bariatric Surgery Associates
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 35.086946 | OH | Yes |
Practice location
960 W Wooster StSuite 116
Bowling Green, OH 43402-2644
Phone 419-373-7699 · Fax 419-354-7430
Mailing address
426 Pine Valley DrBowling Green, OH 43402-5201
Phone 419-352-3067
Authorized official
Brian F. Lane
Authorized Official
4193737699
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