institution
Lakeforest Ambulatory Surgery Center
Ambulatory Surgical Clinic/Center in Gaithersburg, Maryland
NPI 1487779435

Lakeforest Ambulatory Surgery Center is an Ambulatory Surgical Clinic/Center based in Gaithersburg, MD and is specialized in Ambulatory Surgical. Lakeforest Ambulatory Surgery Center practices in Gaithersburg, MD. The NPI Number for Lakeforest Ambulatory Surgery Center is 1487779435 and holds a License No. A1136 (Maryland).

The current practice location address for Lakeforest Ambulatory Surgery Center is 702 Russell Ave, Gaithersburg, MD and can be reached out via phone at 301-948-3668 and via fax at 301-926-7787. You can also correspond with Lakeforest Ambulatory Surgery Center through the mailing address at 702 RUSSELL AVE, GAITHERSBURG, MD - 20877-2606 (mailing address contact number: 301-948-3668).

Location: 702 Russell Ave, Gaithersburg, MD, 20877-2606
institution
Provider Profile Details
NPI Number
1487779435
Provider Name
Lakeforest Ambulatory Surgery Center
Credential
Provider Entity Type
Organization
Address
702 Russell Ave, Gaithersburg, MD, 20877-2606
Phone Number
301-948-3668
Fax Number
301-926-7787
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309595 01 MEDICARE PROVIDER #
A1136 01 MD MARYLAND LICENSE
309597 01 MEDICARE PROVIDER # DH
institution
Provider Business Practice Location Address Details
Address
702 Russell Ave
City
State
Zip
20877-2606
Phone Number
301-948-3668
Fax Number
301-926-7787
person
Provider Business Mailing Address Details
Address
702 Russell Ave
City
State
Zip
20877-2606
Phone Number
301-948-3668
Fax Number
301-926-7787
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A1136 (Maryland)
Definition
Definition to come...
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