OrganizationLifetouch Family Clinic LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9801 Greenbelt Rd Ste 103, Lanham, MD 20706-6204(240) 267-4222PECOS EnrollmentBased on the most recent information from CMS, provider Lifetouch Family Clinic Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1154186724Provider TypeOrganizationFull NameLifetouch Family Clinic LlcSubpartNoEnumeration Date2/13/2024Last Updated2/13/2024Contact InformationPractice LocationPractice Address9801 Greenbelt Rd Ste 103, Lanham, MD 20706-6204Phone(240) 267-4222FaxUnlisted FaxMailing LocationMailing Address9801 Greenbelt Rd Ste 103, Lanham, MD 20706-6204PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameTebid Mbah, Esabella Mah (Medical Director)Phone(202) 257-2130Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer