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46940 S Shangri La Dr Ste 12 Lexington Pk MD 20653-1037 | |
(216) 534-5426 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 46940 S Shangri La Dr Ste 12, Lexington Pk, Maryland |
Authorized Official Name and Position | Mariceljean Rycraft (BILLER) |
Authorized Official Contact | 7252141009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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46940 S Shangri La Dr Ste 12 Lexington Pk MD 20653-1037 Ph: () - | 46940 S Shangri La Dr Ste 12 Lexington Pk MD 20653-1037 Ph: (216) 534-5426 |
NPI Number | 1518688282 |
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Provider Enumeration Date | 09/09/2022 |
Last Update Date | 04/13/2023 |
Identifier | Type | State | Issuer |
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1518688282 | NPI | - | NPPES |