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1720864945
LAKE LINGANORE PSYCHIATRY, PLLC
FREDERICK, MD
NPI
1720864945
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Entity Type
Organization
Authorized Contact
MARIE SHEILA TATE
Manager
240-405-8084
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-09-04
Last Update Date
2024-06-11
Business Address
LAKE LINGANORE PSYCHIATRY, PLLC
617 W PATRICK ST STE 223
FREDERICK, MD 21701-4027
Phone number: 240-405-8084
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Mailing Address
LAKE LINGANORE PSYCHIATRY, PLLC
201 E PATRICK ST
FREDERICK, MD 21705-7501
Phone number: 240-405-8084
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