Organization
LISA RENFRO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE BARRINGER (BILLING MANAGER)
(410) 224-2260
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 630, ANNAPOLIS, MD 21401-3046
(410) 224-2260
(410) 224-3090
Mailing address
2002 MEDICAL PKWY, SUITE 630, ANNAPOLIS, MD 21401-3046
(410) 224-2260
(410) 224-3090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1369
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02QY
CAREFIRST MD
MD
01
—
120615
JHHC
MD
01
—
RA3
CAREFIRST DC
MD
Enumeration date
10/11/2006
Last updated
08/22/2020
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