Organization
LAGOM ADVANCE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABIODUN ELIZABETH JAIYEOLA FNP (AUTHORIZED OFFICIAL/OWNER)
(301) 433-5511
Entity
Organization
Contact information
Practice address
2411 CROFTON LN STE 11A, CROFTON, MD 21114-1337
(301) 433-5511
Mailing address
2411 CROFTON LN, CROFTON, MD 21114-1304
(301) 433-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/11/2022
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