Provider Demographics
NPI:1487773487
Name:THE SURGERY CENTER OF LANCASTER, LLC
Entity type:Organization
Organization Name:THE SURGERY CENTER OF LANCASTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIZEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-285-9842
Mailing Address - Street 1:PO BOX 3122
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29721-3122
Mailing Address - Country:US
Mailing Address - Phone:803-286-8688
Mailing Address - Fax:
Practice Address - Street 1:834 W MEETING ST
Practice Address - Street 2:MEDICAL ARTS BUILDING 4, SUITE H
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6251
Practice Address - Country:US
Practice Address - Phone:803-286-8688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23535208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty