Lakeforest Ambulatory Surgery Center
Lakeforest Ambulatory Surgery Center is an Ambulatory Surgical Clinic/Center in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
702 Russell Ave #301Gaithersburg, MD 20877-2606
Phone: (301) 948-3668
Fax: (301) 926-7787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence A1136 (MD) |
|---|
Record details
| NPI number | 1487779435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Michetti — President · (301) 948-3668 |
| Other names | District Heights Ambulatory Surgery Center |
| NPI enumerated | March 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 702 Russell Ave, 301, Gaithersburg, MD 20877-2606 |
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