# MEDSTAR SURGERY CENTER AT LAFAYETTE CENTRE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912090432
- **Authorized official:** SUSAN P. LAWLOR (ADMINISTRATOR)
- **Authorized official phone:** (202) 416-2141

## Contact information

- **Practice address:** 1133 21ST ST NW, SUITE 1000, WASHINGTON, DC 20036-3390
- **Practice address phone:** (202) 223-9040
- **Practice address fax:** (202) 223-9047
- **Mailing address:** 1133 21ST ST NW, SUITE 1000, WASHINGTON, DC 20036-3390
- **Mailing address phone:** (202) 223-9040
- **Mailing address fax:** (202) 223-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | HFD06 0105 | DC | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/06/2017