Organization
PREMIER VITALITY IV AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LYNCH MD (OWNER/MEDICAL DIRECTOR)
(410) 442-6553
Entity
Organization
Contact information
Practice address
10715 CHARTER DR STE 270, COLUMBIA, MD 21044-2871
(410) 442-6553
Mailing address
902 COOKS BAY CT, GAMBRILLS, MD 21054-1612
(773) 304-7818
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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