| NPI | 1972850808 |
|---|---|
| Doing Business As | LAKE RIDGE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JANET M SMITH Administrator 703-357-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2013-12-27 |