Organization
LIFETOUCH FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESABELLA TEBID MBAH APRN (NP)
(202) 257-2130
Entity
Organization
Contact information
Practice address
9801 GREENBELT RD STE 103, LANHAM, MD 20706-6204
(202) 257-2130
Mailing address
9801 GREENBELT RD STE 104, LANHAM, MD 20706-6204
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R174293
—
MD
Enumeration date
12/12/2022
Last updated
03/14/2024
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