MARYLOU LACOMB-DAVIS


Address: 4255 Altamont Place, Suite 301, White Plains, MD 20695
Phone: 3016451781

MARYLOU LACOMB-DAVIS (NPI# 1881946374) 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) 1881946374
Entity Type Individual
Full Name MARYLOU LACOMB-DAVIS
Credential CPNP
Practice Address 4255 Altamont Place
Suite 301
White Plains
MD 20695
Practice Telephone 3016451781
Practice Fax Number 3013749237
Mailing Telephone 3016451781
Mailing Fax Number 3013749237
Enumeration Date 2012-10-08
Last Update Date 2015-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R207282 MD Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0024164874 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
RN960827 DC Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AC001077 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4255 ALTAMONT PLACE
SUITE 301
City WHITE PLAINS
State MD
Zip Code 20695

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073613568 Aziza C Alam Pediatrics 4255 Altamont Place, Suite 301, White Plains, MD 20695 2006-09-24
1710237037 Waldorf Pediatrics Pediatrics 4255 Altamont Place, Suite 301, White Plains, MD 20695 2012-09-13
1518100700 Tower Radiology LLC Radiology 4255 Altamont Place, Ste 104, White Plains, MD 20695 2009-04-17
1528223310 Charlre' Evanthoni Slaughter-atiemo Pediatrics 4255 Altamont Place, Suite 301, White Plains, MD 20695 2008-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023590452 Dominique Bouldin Driver 11136 Saint Christopher Drive, White Plains, MD 20695 2018-09-01
1366928665 Wooten Lyons LLC Psychiatry & Neurology 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 2018-07-19
1962914507 Kids By The Bay Dental LLC Clinic/Center 5010 Regency Place Ste 102, White Plains, MD 20695 2017-11-03
1528592896 Darlena Austin Social Worker 5310 Exeter Place, White Plains, MD 20695 2017-04-13
1609307040 Phylicia Wooten Counselor 5510 Regency Place Suite 203, White Plains, MD 20695 2017-03-27
1760856488 Stephanie W Allen Physical Therapist Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 2015-11-18
1457743122 Raven Gray Physical Therapy Assistant 10708 Esprit Place, White Plains, MD 20695 2015-03-04
1043629850 Adenike Kupolati Pharmacist 4220 Altamont Place, White Plains, MD 20695 2014-08-06
1942532064 Divine Intervention Community Support Services Community/Behavioral Health 7727 Chesterfied Ct., White Plains, MD 20695 2010-02-01
1740517895 Optionet Support Service Community/Behavioral Health 7727 Chesterfield Court, White Plains, MD 20695 2009-11-11
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427655539 Meghan Seaman Nurse Practitioner 4255 Altamont Pl Ste 301, White Plains, MD 20695-3082 2020-10-02
1902279417 Erika Christie Nurse Practitioner 210 Westchester Ave, White Plains, NY 10604-2901 2015-11-05
1881063774 Mary Kathryn Pfeifer Nurse Practitioner 4255 Altamont Pl, Suite 301, White Plains, MD 20695-3023 2015-09-21
1528471562 Pamela Boyle Nurse Practitioner 4225 Altamont Pl Ste 201, White Plains, MD 20695 2014-06-06
1417222399 Hye Won Hong Nurse Practitioner 222 Westchester Ave, Suite 204, White Plains, NY 10604-2906 2012-03-12
1114182151 Marcelle Gallo Nesci Nurse Practitioner 41 E Post Rd, White Plains, NY 10601-4607 2008-07-18
1518029818 Kathleen A Shea Nurse Practitioner 210 Westchester Ave, White Plains, NY 10604-2901 2006-12-14
1871670679 Cari Paula Martone Nurse Practitioner 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902405574 Kylie White Nurse Practitioner 29595 Millstream Dr, Salisbury, MD 21804-2006 2020-10-23
1437764214 Kelly Weaver Nurse Practitioner 11315 Pembroke Square, 110, Waldorf, MD 20603 2020-09-09
1003420282 Mary Claire Perry Nurse Practitioner 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 2020-09-03
1063022853 Lauren Ranieri Nurse Practitioner 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 2020-08-06
1841847209 Brittany Nichole Frankel Nurse Practitioner 5870 Old Washington Rd, Sykesville, MD 21784-8622 2019-08-21
1912553595 Kelsey Lynn Peifer Nurse Practitioner 6131 Baldridge Ter, Frederick, MD 21701-5858 2019-08-10
1841845351 Advanced Practice Wellness, LLC Nurse Practitioner Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 2019-08-02
1851946305 Monica Patel Nurse Practitioner 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 2019-08-01
1922651082 Deborah A Weber Nurse Practitioner 480 Lake Dr, Lusby, MD 20657-3260 2019-07-18
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
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City WHITE PLAINS
Zip Code 20695

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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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