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Individual

LOVELYN I BIALOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9801 GREENBELT RD STE 318, LANHAM, MD 20706-6231
(202) 817-0027
Mailing address
801 LAKE SHORE DR, BOWIE, MD 20721-2909
(202) 817-0027

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN967940
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018352024
DC
Enumeration date
08/21/2014
Last updated
07/10/2023
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