Lakewood Healthcare Center

NPI 1295910891 - Family Medicine - 207Q00000X

NPI Details
NPI 1295910891
Enumeration Date 01/02/2008
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MONISOLA MONISOLA
Position NP
Phone (301) 925-7002
Fax (301) 925-4463
Practice Location
1400 MERCANTILE LN STE 180
LARGO MD, 20774-5369, US
Phone (301) 925-7002
Fax (301) 925-4463
Business Location
1400 MERCANTILE LN STE 180
LARGO MD, 20774-5369, US
Phone (301) 925-7002
Fax (301) 925-4463
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Lakewood Healthcare Center NPI is 1295910891, taxonomy code is 207Q00000X Lakewood Healthcare Center physically located at 1400 Mercantile Ln Ste 180, Largo MD, 20774-5369. NPI Number 1033115704 has the healthcare provider type.

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1295910891 NPI number is provided on an as is basis without warranty of any kind. 1295910891 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Healthcare Center are for informational purposes only.