Organization
OC INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LATONA CRNP (NURSE PRACTITIONER)
(301) 801-2551
Entity
Organization
Contact information
Practice address
540 RIVERSIDE DR STE 14, SALISBURY, MD 21801-5352
(301) 801-2551
Mailing address
540 RIVERSIDE DR STE 14, SALISBURY, MD 21801-5352
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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