Organization
LANA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA FONTEM NP (OWNER)
(301) 256-2471
Entity
Organization
Contact information
Practice address
7824 ROSARYVILLE RD, UPPER MARLBORO, MD 20772-4511
(301) 256-2471
Mailing address
7824 ROSARYVILLE RD, UPPER MARLBORO, MD 20772-4511
(301) 256-2471
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/27/2025
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