# LIFESTREAM HEALTH CENTER

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

## Provider details

- **NPI number:** 1245981810
- **Authorized official:** SARAH MERRITT MD. (CEO.)
- **Authorized official phone:** (301) 860-0305

## Contact information

- **Practice address:** 7389 BALTIMORE ANNAPOLIS BVD, SUITE L, GLEN BURNIE, MD 21061-1400
- **Practice address phone:** (301) 860-0305
- **Mailing address:** 4000 MITCHELVILLE RD, SUITE B322, BOWIE, MD 20716-1400
- **Mailing address phone:** (301) 860-0305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/14/2022
- **Last updated:** 01/14/2022