| NPI | 1679078679 |
|---|---|
| Doing Business As | LGM HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | ILA MELVIN Family Nurse Practitoner 410-661-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-01-19 |