Individual
LORELEI MCCASTLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-4913
(301) 295-4000
Mailing address
581 ARAPAHO TRL, MAITLAND, FL 32751-4913
(407) 927-5994
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
08/17/2023
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