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).
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 |
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 |
Street Address |
1126 HORNELL DR |
City | SILVER SPRING |
State | MD |
Zip Code | 20905-3770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790202836 | Isabella Abigail Perez Vega | Student in an Organized Health Care Education/Training Program | 17309 New Hampshire Ave, Silver Spring, MD 20905 | 2017-08-29 |
1265961627 | Terry Kim | Optometrist | 14405 Sturtevant Rd, Silver Spring, MD 20905 | 2017-06-08 |
1003342460 | Kevin Saeedi | Technician | 14505 Sandy Ridge Rd, Silver Spring, MD 20905 | 2017-05-04 |
1285166967 | Rahael Fon | Home Health Aide | 14500 Good Hope Rd, Silver Spring, MD 20905 | 2017-03-31 |
1275089484 | Sylvia Lum Fontawa | Home Health Aide | 14500 Twig Road, Silver Spring, MD 20905 | 2016-08-28 |
1164833182 | Aubrey Joseph Moreau | Pharmacist | 14014 Conneticuit Ave, Kmart Pharmacy 4399, Silver Spring, MD 20905 | 2014-05-13 |
1720400575 | Nursing Unlimited Services, Inc | Home Health | 3411 Robey Terr #104, Silver Spring, MD 20905 | 2014-01-14 |
1114268349 | Unity Healthcare Sevices | Home Health | 14200 Delilah Court, Silver Spring, MD 20905 | 2013-03-13 |
1063746121 | Joseph H.t. Jiao | Acupuncturist | 14731 Good Hope Rd., Silver Spring, MD 20905 | 2009-09-22 |
1407005838 | Rolf Nmi Nieman | Otolaryngology | 807 Norwood Rd, Silver Spring, MD 20905 | 2008-09-10 |
Find all providers in zip 20905 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144705104 | Jolly Joseph | Nurse Practitioner | 12705 Summerwood Dr, Silver Spring, MD 20904-1758 | 2018-09-26 |
1376042382 | Joseph Arnell De Dios Rogelio | Nurse Practitioner | 8010 Blair Mill Way Apt 509e, Silver Spring, MD 20910-6849 | 2018-02-05 |
1154850253 | Rosemarie Mccahill Kormanec | Nurse Practitioner | 10313 Georgia Ave Ste 307, Silver Spring, MD 20902-5006 | 2017-06-12 |
1669723961 | Rfom Nurse Practitioner Clinic, LLC | Nurse Practitioner | 8238 Georgia Ave, Silver Spring, MD 20910-4516 | 2012-09-26 |
1437436755 | Adebisi Oduntan Ayodele | Nurse Practitioner | 13020 Gershwin Way, Silver Spring, MD 20904-6811 | 2011-11-15 |
1285877043 | Ann-christin Boley | Nurse Practitioner | 1325 East West Hwy., Ssmc#2, #9300, Silver Spring, MD 20910-3280 | 2009-04-09 |
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 |
1033105762 | Nancy A White | Nurse Practitioner | 1325 E West Hwy, Room 9300, Silver Spring, MD 20910-3280 | 2005-09-27 |
Find all providers in SILVER SPRING |
City | SILVER SPRING |
Zip Code | 20905 |
Please comment or provide details below to improve the information on MR. LAURENCE LEE TRAIL.
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.