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Contact Information

LIFESTREAM HEALTH CENTER
1308 EASTERN AVE
MIDDLESEX SHOPPING CENTER
ESSEX, MD21221
 Phone: 301-860-0305
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for LIFESTREAM HEALTH CENTER

NPI Number 1174274518
LBN Legal business name LIFESTREAM HEALTH CENTER
Authorized official SARAH MERRITT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2022
Last updated 01/18/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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