Organization
INTEGRATED MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE SMITH (PRACTICE ADMINSTRATOR)
(301) 509-4091
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(240) 758-1782
Mailing address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(240) 260-3827
(240) 260-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
12/28/2020
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