Organization
CENTREVILLE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE LUNCZYNSKI NP (OWNER)
(410) 778-1311
Entity
Organization
Contact information
Practice address
120 SPEER RD STE 2, CHESTERTOWN, MD 21620-1085
(410) 778-1311
(414) 077-8062
Mailing address
120 SPEER RD STE 2, CHESTERTOWN, MD 21620-1085
(410) 778-1311
(410) 778-0623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508800095
—
MD
Enumeration date
05/26/2022
Last updated
06/08/2023
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