INTEGRATED MEDICAL CLINIC NPI 1487289005

NPI Information

INTEGRATED MEDICAL CLINIC is a family nurse practitioner in Lanham, MD. INTEGRATED MEDICAL CLINIC NPI is 1487289005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7404 EXECUTIVE PL STE 100
LANHAM, MD
ZIP 20706-237
Phone: (240) 758-1782

The provider's authorized official is Paige Smith .
The authorized official title is Practice Adminstrator and has the following contact phone number (301) 509-4091.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 12/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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