Organization
LIFESTREAM HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ANN MERRITT MD (MEDICAL DIRECTOR)
(301) 860-0305
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 860-0307
Mailing address
4000 MITCHELLVILLE RD, B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
06/11/2020
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