# EASTERN SHORE PRIMARY CARE PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245910579
- **Authorized official:** LAUREN M BRUNEIO CRNP (OWNER)
- **Authorized official phone:** (570) 872-4533

## Contact information

- **Practice address:** 7416 CHURCH HILL RD STE 2, CHESTERTOWN, MD 21620-2808
- **Practice address phone:** (410) 498-4848
- **Mailing address:** 7416 CHURCH HILL RD STE 2, CHESTERTOWN, MD 21620-2808
- **Mailing address phone:** (410) 498-4848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 01/24/2024