Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Lake Wellness LLC

Organization Nurse Practitioner · NPI 1700603008

Mountain Lake Wellness LLC is a Nurse Practitioner in Oakland, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

257 Oakland Dr Ste 103
Oakland, MD 21550-3228
Phone: (240) 284-5696
Fax: (240) 284-5697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1700603008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Lukas — Owner · (240) 284-5696
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address257 Oakland Dr Ste 103, Oakland, MD 21550-3228

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