# LIFESTREAM HEALTH CENTER

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

## Provider details

- **NPI number:** 1972254316
- **Authorized official:** SARAH A MERRITT MD (CEO)
- **Authorized official phone:** (301) 860-0305

## Contact information

- **Practice address:** 6666 SECURITY BVD., SUITE 4, GWYNN OAK, MD 21207
- **Practice address phone:** (301) 860-0305
- **Mailing address:** 4000 MITCHELLVILLE RD, SUITE B322, BOWIE, MD 20716
- **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 |

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022