MOUNTAIN LAKE WELLNESS LLC

OAKLAND, MD
NPI1700603008
Entity TypeOrganization
Authorized ContactJAMES LUKAS
Owner
240-284-5696
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2024-09-26
Last Update Date2024-09-26
Business Address
MOUNTAIN LAKE WELLNESS LLC
257 OAKLAND DR STE 103
OAKLAND, MD 21550-3228
Phone number: 240-284-5696
Mailing Address
MOUNTAIN LAKE WELLNESS LLC
257 OAKLAND DR STE 103
OAKLAND, MD 21550-3228
Phone number: 240-284-5696
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