Organization
DIEGUE GROUP
Active
Other names
Lifestyle Psychiatry and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASHIRE DIEGUE MD (OWNER)
(973) 964-5107
Entity
Organization
Contact information
Practice address
6700 RIDGE RD STE 1, ROSEDALE, MD 21237-3960
(973) 964-5107
Mailing address
202 BLUM CT UNIT 1816, BEL AIR, MD 21014-8572
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
12/05/2023
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