Lakeforest Ambulatory Surgery Center

NPI #1326202086 in District Heights, Maryland

Provider Information

NPI Number
1326202086
Entity Type
Organization
Organization Name
Lakeforest Ambulatory Surgery Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 11, 2008
Last Updated
Jul 11, 2008

Practice Location

Address
6400 MARLBORO PIKE
ZIP Code
20747-2841
Phone
(301) 736-6900

Authorized Official

Name
DR. MICHAEL LAWRENCE MICHETTI, DPM
Title
MEDICAL DIRECTOR AND OWNER
Phone
(301) 948-3668

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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