OrganizationActive
Lakeside Ambulatory Surgical Center LLC
NPI 1528026788 · Ambulatory Surgical Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1528026788
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Wagner, Ceo(402) 758-5212
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17030 Lakeside Hills Plz Ste 110
Omaha, NE 68130-2440
Phone: (402) 758-5120
Fax: (402) 758-5087
Approximate (ZIP-level) locationGet directions
Mailing address
17030 Lakeside Hills Plz Ste 110
Omaha, NE 68130-2440
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.