Organization
CHASLY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY EKASSI (OWNER)
(301) 806-6986
Entity
Organization
Contact information
Practice address
13213 5TH ST, BOWIE, MD 20720-3609
(301) 806-6986
Mailing address
13213 5TH ST, BOWIE, MD 20720-3609
(301) 806-6986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
07/30/2025
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