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Individual

LAUREN SUNDERGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8860
Mailing address
5475 GREEN BRIDGE RD, DAYTON, MD 21036-1251
(301) 401-0570

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R196143
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R196143
MD

Other

Enumeration date
02/16/2022
Last updated
03/12/2022
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