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Organization
LIFESPAN HEALTHCARE, LLC
Active
Organization
LIFESPAN HEALTHCARE, LLC
Active
Other names
Lifespan Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN VIBAN NP (MEDICAL DIRECTOR)
(240) 593-1485
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 593-1485
Mailing address
8101 SANDY SPRING RD STE E-18, LAUREL, MD 20707-3596
(124) 059-3148
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/07/2025
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