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Organization

CENTRAL LAKES MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE L ATIENO OLONDE MD (PHYSICIAN/ OWNER)
(443) 470-2698
Entity
Organization

Contact information

Practice address
7923 HONEYGO BLVD, 217, NOTTINGHAM, MD 21236
(443) 470-2698
(883) 973-3543
Mailing address
7923 HONEYGO BLVD, 217, NOTTINGHAM, MD 21236
(443) 470-2698
(883) 973-3543

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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