Organization
EPEC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKEYA HUTTON CRNP (OWNER)
(410) 419-9428
Entity
Organization
Contact information
Practice address
314 GERMAN HILL RD STE 1, DUNDALK, MD 21222-1527
(443) 559-8354
Mailing address
314 GERMAN HILL RD STE 1, DUNDALK, MD 21222-1527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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