Organization
CHASLY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY EKASSI CRNP (NURSE PRACTITIONER)
(301) 806-6986
Entity
Organization
Contact information
Practice address
13213 5TH ST, BOWIE, MD 20720-3609
(301) 806-6986
(833) 764-5476
Mailing address
13213 5TH ST, BOWIE, MD 20720-3609
(301) 806-6986
(833) 764-5476
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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