| Lakewood Healthcare Center | |
|
1400 Mercantile Ln Ste 180 Largo MD 20774-5369 | |
| (301) 925-7002 | |
| (301) 925-4463 |
| Full Name | Lakewood Healthcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Mercantile Ln Ste 180, Largo, Maryland |
| Authorized Official Name and Position | Monisola Adeyemo (NP) |
| Authorized Official Contact | 3019257022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Healthcare Center 1400 Mercantile Ln Ste 180 Largo MD 20774-5369 Ph: (301) 925-7002 | Lakewood Healthcare Center 1400 Mercantile Ln Ste 180 Largo MD 20774-5369 Ph: (301) 925-7002 |
| NPI Number | 1295910891 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295910891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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