Healthcare Provider Details

I. General information

NPI: 1528929072
Provider Name (Legal Business Name): BLUZONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 DEFENSE HWY STE 110
ANNAPOLIS MD
21401-7015
US

IV. Provider business mailing address

133 DEFENSE HWY STE 110
ANNAPOLIS MD
21401-7015
US

V. Phone/Fax

Practice location:
  • Phone: 443-524-3880
  • Fax:
Mailing address:
  • Phone: 443-524-3880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LAMB
Title or Position: OWNER OPERATOR OF BLUZONE
Credential: RN
Phone: 443-640-5032