Organization
LIVING WATERS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA COLE (OWNER)
(301) 900-5313
Entity
Organization
Contact information
Practice address
1260 MARYLAND AVE STE 114, HAGERSTOWN, MD 21740-7248
(301) 900-5313
(301) 235-1590
Mailing address
PO BOX 602, WILLIAMSPORT, MD 21795-0602
(301) 900-5313
(301) 235-1590
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
03/24/2023
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