| NPI | 1730246885 |
|---|---|
| Doing Business As | LAKE FORST CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW SIMON CHOI Managing Member 301-740-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MD 03473) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2008-12-12 |