| NPI | 1972792703 |
|---|---|
| Doing Business As | FAIR LAKES URGENT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES OKORIE President 703-222-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |