| Premier Vitality Iv And Wellness Center | |
|
10715 Charter Dr Ste 270 Columbia MD 21044-2871 | |
| (410) 442-6553 | |
| Not Available |
| Full Name | Premier Vitality Iv And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10715 Charter Dr Ste 270, Columbia, Maryland |
| Authorized Official Name and Position | Kristina Lynch (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4104426553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vitality Iv And Wellness Center 902 Cooks Bay Ct Gambrills MD 21054-1612 Ph: (773) 304-7818 | Premier Vitality Iv And Wellness Center 10715 Charter Dr Ste 270 Columbia MD 21044-2871 Ph: (410) 442-6553 |
| NPI Number | 1528761145 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 9335597178 |
|---|---|
| Medicare Enrollment ID | O20231205000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528761145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristina E Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538381389 PECOS PAC ID: 5698828093 Enrollment ID: I20100609000836 |
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