Organization
LOVELIGHT PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE SISLER MD (OWNER)
(301) 533-7060
Entity
Organization
Contact information
Practice address
607 OAKLAND AVE, OAKLAND, MD 21550-3734
(301) 533-7060
(877) 766-4406
Mailing address
607 OAKLAND AVE, OAKLAND, MD 21550-3734
(301) 533-7060
(877) 766-4406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
641018900
—
MD
Enumeration date
01/09/2019
Last updated
01/29/2019
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