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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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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