Lake, Mosunmola Sandra
Lake, Mosunmola Sandra is an sole proprietor health care provider with primary practice located at 6215 Greenbelt Rd Ste 107 , Berwyn Heights MD 20740-2355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lake, Mosunmola Sandra can be contacted via phone (301) 272-1558.Contact Information
Primary practice address
6215 Greenbelt Rd Ste 107
Berwyn Heights MD 20740-2355
Phone: (301) 272-1558
Fax: (301) 272-1559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R191756 | Maryland |
Profile Details
| NPI number | 1275050288 |
|---|---|
| LBN Legal business name | Lake, Mosunmola Sandra |
| Credentials | DNP, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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