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Medicl Facility ID: 3040169831060984385

Facility Business Name: DAVITA LAKESIDE DIALYSIS ( CLINTON, MD )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id3040169831060984385
Facility NameDAVITA LAKESIDE DIALYSIS
Address Line10401 HOSPITAL DR, STE G-02
CityCLINTON
StateMD
Zip20735
CountyPrince Georges
Phone301-856-6550
TypeDialysis Facility
Provider Id212564