| Proactive Wellness | |
|
41 Pinkney St, Annapolis, MD 21401-1717 | |
| (410) 440-2037 | |
| Not Available |
| Full Name | Proactive Wellness |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 41 Pinkney St, Annapolis, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912203977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX3548 (Maryland) | Primary |
| Provider Name | Casey Richmond Lehner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194021204 PECOS PAC ID: 3971738758 Enrollment ID: I20131102000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Wellness 41 Pinkney St, Annapolis, MD 21401-1717 Ph: (410) 440-2037 | Proactive Wellness 41 Pinkney St, Annapolis, MD 21401-1717 Ph: (410) 440-2037 |
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