institution
Laurel Lakes Foot And Ankle Asc
Ambulatory Surgical Clinic/Center in Laurel, Maryland
NPI 1457520983

Laurel Lakes Foot And Ankle Asc is an Ambulatory Surgical Clinic/Center based in Laurel, MD and is specialized in Ambulatory Surgical. Laurel Lakes Foot And Ankle Asc practices in Laurel, MD. The NPI Number for Laurel Lakes Foot And Ankle Asc is 1457520983 and holds a License No. 00560 (Maryland).

The current practice location address for Laurel Lakes Foot And Ankle Asc is 13950 Baltimore Ave, Laurel, MD and can be reached out via phone at 301-317-6800 and via fax at 301-317-4183.

Location: 13950 Baltimore Ave, Laurel, MD, 20707-5000
institution
Provider Profile Details
NPI Number
1457520983
Provider Name
Laurel Lakes Foot And Ankle Asc
Credential
Provider Entity Type
Organization
Address
13950 Baltimore Ave, Laurel, MD, 20707-5000
Phone Number
301-317-6800
Fax Number
301-317-4183
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91242 01 AETNA
A050 01 AMERIGROUP
496067 01 NCPPO
7998686000 05 MD
0001 01 DC BLUE SHIELD OF DC
998E 01 TRICARE
252513 01 VA BLUE SHIELD OF VA
91242 01 MD MAMSI
41866201 01 MD BLUE SHIELD OF MD
institution
Provider Business Practice Location Address Details
Address
13950 Baltimore Ave
City
State
Zip
20707-5000
Phone Number
301-317-6800
Fax Number
301-317-4183
person
Provider Business Mailing Address Details
Address
13950 Baltimore Ave
City
State
Zip
20707-5000
Phone Number
301-317-6800
Fax Number
301-317-4183
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
00560 (Maryland)
Definition
Definition to come...
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