Provider First Line Business Practice Location Address:
MEDSTAR SURGERY CENTER AT LAFAYETTE CENTRE
Provider Second Line Business Practice Location Address:
1133 21ST STR., NW, SUITE 1000
Provider Business Practice Location Address City Name:
WASHINGTON, DC
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-416-2145
Provider Business Practice Location Address Fax Number:
202-223-9047
Provider Enumeration Date:
10/26/2005