Mosunmola Sandra Lake, DNP, PMHNP-BC
NPI #1275050288 in Berwyn Heights, Maryland
Provider Information
- NPI Number
- 1275050288
- Entity Type
- Individual
- Name
- Mosunmola Sandra Lake, DNP, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- DNP, PMHNP-BC
- Enumeration Date
- Aug 29, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 6215 GREENBELT RD STE 107
- City
- Berwyn Heights
- State
- Maryland
- ZIP Code
- 20740-2355
- Phone
- (301) 272-1558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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