Mason-Dixon Mobile Medicine

LBN: Lakeside Med, Llc
Mason-Dixon Mobile Medicine is an health care organization with primary practice located at 723 N Market St , Frederick MD 21701-5232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lakeside Med, Llc can be contacted via phone (240) 397-6723, or through Brown, Douglas H. via phone (240) 397-6723.

Contact Information

Primary practice address
723 N Market St Frederick MD 21701-5232
Fax: (833) 992-0865
Website:
Authorized official contact:
Name: Brown, Douglas H. Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073142147
LBN Legal business name Lakeside Med, Llc
DBA Doing business as Mason-Dixon Mobile Medicine
Authorized official Brown, Douglas H. Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2020
Last updated Jan 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers