Provider Demographics
NPI:1679086078
Name:CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:954-900-3382
Mailing Address - Street 1:2122 W CYPRESS CREEK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1866
Mailing Address - Country:US
Mailing Address - Phone:954-900-3382
Mailing Address - Fax:954-368-9625
Practice Address - Street 1:CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC
Practice Address - Street 2:
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1829
Practice Address - Country:US
Practice Address - Phone:954-986-7079
Practice Address - Fax:954-986-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical