Organization
JOHNS HOPKINS SURGERY CENTERS SERIES
Active
Other names
Green Spring Station Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ISHII (AUTHORIZED OFFICIAL)
(410) 583-7185
Entity
Organization
Contact information
Practice address
10803 FALLS RD STE 3100, LUTHERVILLE, MD 21093-4502
(410) 616-7650
(410) 616-7651
Mailing address
10803 FALLS ROAD, PAVILLION 3, SUITE 2500 C/O LISA ISHII, LUTHERVILLE, MD 20193-2358
(410) 583-7185
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/30/2020
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