Joint Ventures


Founders/Executive Management

George A Violin, MD, FACS

Dr. Violin is a board-certified ophthalmologist, and a founding principal of the company.  He has owned and developed two ambulatory surgical centers and a large multiple office ophthalmic practice in eastern Massachusetts.  He is a graduate of Columbia College, Columbia University College of Physicians and Surgeons, and Harvard Medical School & Massachusetts Eye and Ear Infirmary residency program.

Luke M. Lambert, MBA, CFA, CASC

Mr. Lambert came to ASCOA, first as its CFO in 1997 and then becoming its CEO in 2002, with a broad background in finance, strategy, and operations. Mr. Lambert worked for Smith Barney in international sell side equity research. At Booz, Allen & Hamilton and Ernst & Young, Mr. Lambert consulted with entities starting new ventures, entering new markets and reengineering business processes. Mr. Lambert is a graduate of Harvard College, where he studied economics, and obtained his MBA from the Columbia Graduate School of Business. Mr. Lambert was among the first to earn the CASC designation in 2002.

Susan Kizirian, RN, MBA

Ms. Kizirian is Chief Operating Officer of ASCOA. Ms. Kizirian has over 28 years experience in all aspects of ASC operations serving as Executive Director and as a consultant for ASC management and development. Additionally, she has 17 years of practice management experience and 8 years of expertise with clinical site research. Ms. Kizirian currently serves as Life-Time Past President Emeritus on the Board of Directors of the Florida Society of Ambulatory Surgery Centers, is past Treasurer of the American Association of Ambulatory Surgery Centers (AAASC), and past President of the Ambulatory Surgery Management Society of the Medical Group Management Association. She received her RN from Florida State University and her MBA from Nova University.

Michael Chwalek, Jr.

Mr. Chwalek serves as Senior Financial Analyst for the company. Prior to joining ASCOA in 2007, Mr. Chwalek’s work experience included positions in the financial services, software development and construction industries. He graduated magna cum laude from the University of Massachusetts with a Bachelor of Science in Business Administration, with a concentration in Finance and a Minor in Economics.

Michelle Howe

Ms. Howe serves as Development & Operations Manager for the company. Prior to joining ASCOA in 2008, Ms. Howe’s work experience included ten years in sales and marketing in the hospitality & tourism industry, in addition to seven years in retail management. Ms. Howe earned a Bachelor of Science from Brigham Young University.