Healthcare Provider Details

I. General information

NPI: 1699632653
Provider Name (Legal Business Name): LIFESPRING HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 BELAIR RD
BALTIMORE MD
21206-6303
US

IV. Provider business mailing address

4316 BELAIR RD
BALTIMORE MD
21206-6303
US

V. Phone/Fax

Practice location:
  • Phone: 443-606-0614
  • Fax:
Mailing address:
  • Phone: 443-606-0614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OZIOMA ERONDU
Title or Position: OWNER
Credential: DNP, CRNP
Phone: 443-606-0614