LEXINGTON PARK VA CLINIC (4070) INSTITUTION (4)

Name	Value
NAME	LEXINGTON PARK VA CLINIC
STATE	MARYLAND
STREET ADDR. 1	45870 EAST RUN DRIVE, SUITE 300
CITY	LEXINGTON PARK
ZIP	20653-9998
OFFICIAL VA NAME	LEXINGTON PARK VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 5 PARENT FACILITY PARENT OF ASSOCIATION: WASHINGTON VA MEDICAL CENTER
BILLING FACILITY NAME	LEXINGTON PARK VA CLINIC
EFFECTIVE DATE/TIME	2020-01-02 00:00:00 STATUS: ACTIVE NPI: 1285272385
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	688GG
IDENTIFIER	CODING SYSTEM: CLIA ID: 21D2175360