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Organization

THE GREEN LEAF CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUDI-ANN LEWIS-DAWKINS MSN, ACNPC-AG (NURSE PRACTITIONER OWNER)
(443) 438-0788
Entity
Organization

Contact information

Practice address
1 RESEARCH CT STE 450, ROCKVILLE, MD 20850-6252
(301) 615-3596
Mailing address
1 RESEARCH CT STE 450, ROCKVILLE, MD 20850-6252
(301) 615-3596

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/09/2025
Last updated
04/03/2026
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