Wilson, Theresa Lynn

Wilson, Theresa Lynn is an individual health care provider with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Theresa Lynn can be contacted via phone (301) 552-8118.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3574
Phone: (301) 552-8118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0001801 Maryland

Profile Details

NPI number 1376899351
LBN Legal business name Wilson, Theresa Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2012
Last updated Sep 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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