MEDICARE: LANA HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1447052451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	7824 ROSARYVILLE RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4511
Country	:	US
Telephone Number	:	301-256-2471
Fax Number	:

Provider Business Practice Location Address
First Line	:	7824 ROSARYVILLE RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4511
Country	:	US
Telephone Number	:	301-256-2471
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIRANDA FONTEM
Credential	:	NP
Telephone Number	:	301-256-2471

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “LANA HEALTH SERVICES LLC ” Practice Location

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