Organization · Type 2 NPI
Lakeside Med, LLC
Medical Physician Assistant · Frederick, MD
NPI number
1891567053
Active
Practice location
723 N Market St # 207
Frederick, MD 21701-5232
Fax (443) 222-8164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Frederick
About NPI 1891567053
Lakeside Med, LLC's National Provider Identifier is 1891567053, issued on Oct 23, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Frederick, MD. The record was last updated on Oct 23, 2023.