Provider Demographics
NPI:1992755086
Name:SOUTHWOODS HEALTHCARE ASSOCIATES,LLC
Entity type:Organization
Organization Name:SOUTHWOODS HEALTHCARE ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:SOZON
Authorized Official - Last Name:LYRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-726-0156
Mailing Address - Street 1:7600 SOUTHERN BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5633
Mailing Address - Country:US
Mailing Address - Phone:330-726-0156
Mailing Address - Fax:330-726-9475
Practice Address - Street 1:7600 SOUTHERN BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5633
Practice Address - Country:US
Practice Address - Phone:330-726-0156
Practice Address - Fax:330-726-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Not Answered208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty