Lifetouch Family Clinic Llc

LBN: Lifetouch Family Clinic Llc
Lifetouch Family Clinic Llc is an health care organization with primary practice located at 9801 Greenbelt Rd Ste 103 , Lanham MD 20706-6204. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Lifetouch Family Clinic Llc can be contacted via phone (202) 257-2130, or through Tebid Mbah, Esabella via phone (202) 257-2130.

Contact Information

Primary practice address
9801 Greenbelt Rd Ste 103 Lanham MD 20706-6204
Phone: (202) 257-2130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tebid Mbah, Esabella Advanced Practice Registered Nurse (APRN)
Phone: (202) 257-2130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1023729076
LBN Legal business name Lifetouch Family Clinic Llc
DBA Doing business as
Authorized official Tebid Mbah, Esabella Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2022
Last updated Mar 14th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023729076 NPPES
Maryland MEDICAID R174293

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