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Organization
LIFESTREAM HEALTH CENTER
Active
Organization
LIFESTREAM HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MERRITT MD (CEO)
(301) 860-0305
Entity
Organization
Contact information
Practice address
1308 EASTERN AVE, MIDDLESEX SHOPPING CENTER, ESSEX, MD 21221
(301) 860-0305
Mailing address
4000 MITCHELLVILLE RD., SUITE B322, BOWIE, MD 20716-1400
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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