| Concept For Women & Children Wellness Clinic | |
|
9831 Greenbelt Rd Ste 103 Lanham MD 20706-6224 | |
| (202) 601-0801 | |
| Not Available |
| Full Name | Concept For Women & Children Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9831 Greenbelt Rd Ste 103, Lanham, Maryland |
| Authorized Official Name and Position | Lovelyn Bialose (PROVIDER) |
| Authorized Official Contact | 2028170027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concept For Women & Children Wellness Clinic 801 Lake Shore Dr Bowie MD 20721-2909 Ph: (202) 817-0027 | Concept For Women & Children Wellness Clinic 9831 Greenbelt Rd Ste 103 Lanham MD 20706-6224 Ph: (202) 601-0801 |
| NPI Number | 1124665682 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 7113350885 |
|---|---|
| Medicare Enrollment ID | O20191211000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124665682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lovelyn I Bialose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851899 PECOS PAC ID: 1850724527 Enrollment ID: I20191211000128 |
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