Mclean Tysons Orthopedic Surgery Center, LLC
NPI #1942883764 in Mc Lean, Virginia
Provider Information
- NPI Number
- 1942883764
- Entity Type
- Organization
- Organization Name
- Mclean Tysons Orthopedic Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 29, 2021
- Last Updated
- Apr 29, 2021
Practice Location
Authorized Official
- Name
- LUCILLE FORMEISTER
- Title
- DIR. BUS SYSTEMS
- Phone
- (860) 667-9542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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