| NPI | 1013231620 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS AT LAKELAND ROYALTON |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Vice President 206-236-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2017-07-19 |