| Oc Internal Medicine | |
|
540 Riverside Dr Ste 14 Salisbury MD 21801-5352 | |
| (301) 801-2551 | |
| Not Available |
| Full Name | Oc Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 Riverside Dr Ste 14, Salisbury, Maryland |
| Authorized Official Name and Position | Lori Latona (NURSE PRACTITIONER) |
| Authorized Official Contact | 3018012551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Internal Medicine 540 Riverside Dr Ste 14 Salisbury MD 21801-5352 | Oc Internal Medicine 540 Riverside Dr Ste 14 Salisbury MD 21801-5352 Ph: (301) 801-2551 |
| NPI Number | 1023757689 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 2365823010 |
|---|---|
| Medicare Enrollment ID | O20220713001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023757689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Lori M Latona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457583759 PECOS PAC ID: 9234364936 Enrollment ID: I20150105000896 |
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