LOMACK PRIMARY CARE INC NPI 1942552815

NPI Information

NPI: 1942552815
Provider Name: LOMACK PRIMARY CARE, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11120 NEW HAMPSHIRE AVE
507
SILVER SPRING, MD
ZIP 20904
Phone: (301) 593-1700
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LOMACK PRIMARY CARE, INC is a primary care clinic center in Silver Spring, MD. LOMACK PRIMARY CARE, INC NPI is 1942552815. The provider is registered as an organization entity type.

The provider's business location address is:

11120 NEW HAMPSHIRE AVE
507
SILVER SPRING, MD
ZIP 20904-633
Phone: (301) 593-1700
Fax: (301) 593-1701

The provider's authorized official is Nkiru Juliana Ezeani .
The authorized official title is Nurse Practitioner and has the following contact phone number (301) 593-1700.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 5/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	R151747	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	412879600	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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