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Organization
PRIMECARE ADULT & SENIOR HEALTH LLC
Active
Organization
PRIMECARE ADULT & SENIOR HEALTH LLC
Active
Other names
PrimeCare Adult & Senior Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA M ADDISON-HARRIS CRNP (NURSE PRACTITIONER)
(443) 867-8935
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
(443) 867-8935
Mailing address
7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
(443) 867-8935
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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