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Organization

LAKESIDE MED, LLC

Active
Other names
Mason-Dixon Mobile Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS H. BROWN PA-C (PRIMARY MEMBER)
(240) 397-6723
Entity
Organization

Contact information

Practice address
723 N MARKET ST, FREDERICK, MD 21701-5232
(240) 397-6723
(833) 992-0865
Mailing address
723 N MARKET ST, FREDERICK, MD 21701-5232
(240) 397-6723
(833) 992-0865

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/02/2020
Last updated
01/11/2022
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