| NPI | 1467533471 |
|---|---|
| Doing Business As | LAKERIDGE FOOT & ANKLE CENTERS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JEFFERY STABILE President 703-491-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-01-19 |