NPI 1124058946

Lutherville Surgicenter, LLC

Organisation Ambulatory Surgical Clinic/Center Lutherville, MD

Practice location

Address: 1400 Front Ave Suite 100a, Lutherville, MD 21093-5300
Phone: (410) 828-1525
Fax: (410) 828-5045

Authorised official

Name: John Russell Moore
Title: Medical Director
Phone: (410) 296-6232

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence A1302 (MD)

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1124058946
Entity type: Organization
NPI issued: 4 Jul 2006
Record last updated: 16 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.