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Organization

LSMAYNARD LLC

Active
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Organization

LSMAYNARD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STUART MAYNARD (PH.D. CNS)
(301) 656-6605
Entity
Organization

Contact information

Practice address
4500 N PARK AVE STE N801, CHEVY CHASE, MD 20815-7239
(301) 656-6605
Mailing address
4500 N PARK AVE STE N801, CHEVY CHASE, MD 20815-7239

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R066358
MBON
MD
Enumeration date
12/20/2019
Last updated
12/20/2019
About Stedi
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