| NPI | 1376795765 |
|---|---|
| Former Legal Business Name | LAKERIDGE FOOT & ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E STABILE President 703-491-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000774) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2013-12-30 |