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Organization
LIGHTTRACK HEALTH SYSTEMS, LLC
Active
Organization
LIGHTTRACK HEALTH SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI GULBIN R.D.N. (REGISTERED DIETITIAN-NUTRITIONIST)
(443) 414-6505
Entity
Organization
Contact information
Practice address
1433 S MAIN CHAPEL WAY, UNIT B115, GAMBRILLS, MD 21054-1873
(443) 414-6505
Mailing address
581 PASTURE BROOK RD, SEVERN, MD 21144-2317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3327
MD
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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