Organization
LIFESTREAM HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MERRITT MD. (CEO.)
(301) 860-0305
Entity
Organization
Contact information
Practice address
7389 BALTIMORE ANNAPOLIS BVD, SUITE L, GLEN BURNIE, MD 21061-1400
(301) 860-0305
Mailing address
4000 MITCHELVILLE RD, SUITE B322, BOWIE, MD 20716-1400
(301) 860-0305
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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