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).
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 |
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 |
Street Address |
4255 ALTAMONT PLACE SUITE 301 |
City | WHITE PLAINS |
State | MD |
Zip Code | 20695 |
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 |
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 |
Find all providers in zip 20695 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | WHITE PLAINS |
Zip Code | 20695 |
Please comment or provide details below to improve the information on MARYLOU LACOMB-DAVIS.
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.