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:
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Health care specialties

SpecialtyCodeLicense #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 3 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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