MR. LAURENCE LEE TRAIL


Address: 1126 Hornell Dr, Silver Spring, MD 20905-3770
Phone: 3014219115

MR. LAURENCE LEE TRAIL (NPI# 1457455776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457455776
Entity Type Individual
Full Name MR. LAURENCE LEE TRAIL
Credential NP
Practice Address 1126 Hornell Dr
Silver Spring
MD 20905-3770
Mailing Address 1126 Hornell Drive
Silver Spring
MD 20905-3770
Practice Telephone 3014219115
Practice Fax Number 2027452283
Mailing Telephone 3014219115
Mailing Fax Number 2027452283
Enumeration Date 2006-09-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R083369 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1126 HORNELL DR
City SILVER SPRING
State MD
Zip Code 20905-3770

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1376042382 Joseph Arnell De Dios Rogelio Nurse Practitioner 8010 Blair Mill Way Apt 509e, Silver Spring, MD 20910-6849 2018-02-05
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1538205430 Cheryl D Fletcher Nurse Practitioner 701 Twin Holly Ln, Silver Spring, MD 20910-4665 2007-01-29
1538125919 Karen M Sova Nurse Practitioner 803 Venice Dr, Silver Spring, MD 20904-2062 2006-04-25
1851361182 Lucia Maria Novak Nurse Practitioner 2101 Medical Park Dr Ste 211, Silver Spring, MD 20902-4053 2006-01-26
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Competitor

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City SILVER SPRING
Zip Code 20905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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