| Lakeside Healing Services, Llc | |
|
911 Bayly Rd Cambridge MD 21613-2911 | |
| (410) 901-7243 | |
| Not Available |
| Full Name | Lakeside Healing Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 911 Bayly Rd, Cambridge, Maryland |
| Authorized Official Name and Position | Jennifer Lake (OWNER) |
| Authorized Official Contact | 4109017243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Healing Services, Llc 911 Bayly Rd Cambridge MD 21613-2911 Ph: (410) 901-7243 | Lakeside Healing Services, Llc 911 Bayly Rd Cambridge MD 21613-2911 Ph: (410) 901-7243 |
| NPI Number | 1518625029 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518625029 | NPI | - | NPPES |
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