| Lumen Christi Medical & Behavioral Health, Llc. | |
|
9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 | |
| (443) 562-0480 | |
| Not Available |
| Full Name | Lumen Christi Medical & Behavioral Health, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9801 Greenbelt Rd Ste 318, Lanham, Maryland |
| Authorized Official Name and Position | Esther Chiedu (OWNER) |
| Authorized Official Contact | 4435620480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Christi Medical & Behavioral Health, Llc. 9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 Ph: (443) 562-0480 | Lumen Christi Medical & Behavioral Health, Llc. 9801 Greenbelt Rd Ste 318 Lanham MD 20706-6231 Ph: (443) 562-0480 |
| NPI Number | 1235903139 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Medicare PECOS PAC ID | 7810334414 |
|---|---|
| Medicare Enrollment ID | O20240319000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235903139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Esther Chiedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184323511 PECOS PAC ID: 9638516230 Enrollment ID: I20240319000698 |
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