| Lana Health Services Llc | |
|
7824 Rosaryville Rd Upper Marlboro MD 20772-4511 | |
| (301) 256-2471 | |
| Not Available |
| Full Name | Lana Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7824 Rosaryville Rd, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Miranda Fontem (OWNER) |
| Authorized Official Contact | 3012562471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Health Services Llc 7824 Rosaryville Rd Upper Marlboro MD 20772-4511 Ph: (301) 256-2471 | Lana Health Services Llc 7824 Rosaryville Rd Upper Marlboro MD 20772-4511 Ph: (301) 256-2471 |
| NPI Number | 1225839178 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Medicare PECOS PAC ID | 6709300437 |
|---|---|
| Medicare Enrollment ID | O20250403002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225839178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Miranda Fontem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215292784 PECOS PAC ID: 1951838747 Enrollment ID: I20241218001301 |
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