Organization
LAKESIDE MED, LLC
Active
Organization
LAKESIDE MED, LLC
Active
Parent organization
LAKESIDE MED, LLC
Other names
ComingOut Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MED, LLC
Authorized official
DOUGLAS H. BROWN EDD(C) (MANAGING PARTNER)
(301) 660-8875
Entity
Organization
Contact information
Practice address
723 N MARKET ST # 207, FREDERICK, MD 21701-5232
(301) 660-8875
(443) 222-8164
Mailing address
723 N MARKET ST # 207, FREDERICK, MD 21701-5232
(301) 660-8875
(443) 222-8164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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