MEDICARE: URGENT WELLNESS 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1285131631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT WELLNESS LLC

Provider Business Mailing Address
First Line	:	PO BOX 70745
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-0745
Country	:	US
Telephone Number	:	202-923-8068
Fax Number	:	202-629-2642

Provider Business Practice Location Address
First Line	:	1924 SAVANNAH TER SE APT C
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-2148
Country	:	US
Telephone Number	:	202-923-8068
Fax Number	:	202-629-2642

Authorized Official
Title or Position	:	COO
Name	:	LISA LINDSTROM
Credential	:
Telephone Number	:	202-923-8068

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	08/13/2024

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Directions to “URGENT WELLNESS LLC ” Practice Location

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