NPI 1073142147

Lakeside Med, LLC

Organisation Family Medicine Physician Frederick, MD

Practice location

Address: 723 N Market St, Frederick, MD 21701-5232
Phone: (240) 397-6723
Fax: (833) 992-0865

Authorised official

Name: Douglas H. Brown
Title: Primary Member
Phone: (240) 397-6723

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Maryland →

Registry record

NPI: 1073142147
Entity type: Organization
NPI issued: 2 Apr 2020
Record last updated: 11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.