MOUNTAIN LAKE WELLNESS LLC

NPI # 

Practice Address:

257 Oakland Dr Ste 103

Oakland, MD, 21550-3228

Practice Phone:

240-284-5696

Practice Fax:

240-284-5697

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Code:

363L00000X

Updated by NPPES on 9/26/2024. You can view the original data set for NPI # 1700603008 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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MOUNTAIN LAKE WELLNESS LLC's

CMS CPT® coding data

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MOUNTAIN LAKE WELLNESS LLC's

CMS prescription data

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