Organization
INTEGRATED WELLNESS DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL DOUGLAS LORD M.D. (OWNER)
(301) 502-5566
Entity
Organization
Contact information
Practice address
1800 M ST NW, WASHINGTON, DC 20036
(800) 762-6282
Mailing address
9755 PATUXENT WOODS DR, STE 100, COLUMBIA, MD 21046-2286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/24/2016
Last updated
06/11/2018
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