LR
LAKE RIDGE AMBULATORY SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
WOODBRIDGE, VA
Licensed since
2012
Rate
—
Federal identifiers
NPI registry number1972850808
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients107
RevalidationDue 2024-10-31
Authorized official
NameJANET SMITH
TitleADMINISTRATOR
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