| Lovelight Pediatrics, Llc | |
|
607 Oakland Ave Oakland MD 21550-3734 | |
| (301) 533-7060 | |
| (877) 766-4406 |
| Full Name | Lovelight Pediatrics, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 607 Oakland Ave, Oakland, Maryland |
| Authorized Official Name and Position | Stephanie Brook Sisler (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3015337060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovelight Pediatrics, Llc 607 Oakland Ave Oakland MD 21550-3734 Ph: (301) 533-7060 | Lovelight Pediatrics, Llc 607 Oakland Ave Oakland MD 21550-3734 Ph: (301) 533-7060 |
| NPI Number | 1609407592 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609407592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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