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Organization
COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Active
Organization
COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN C LAMPKIN (CREDENTIALING PE SPECIALIST)
(667) 303-1042
Entity
Organization
Contact information
Practice address
9715 MEDICAL CENTER DR STE 510, ROCKVILLE, MD 20850-3320
(301) 738-0300
(301) 738-1316
Mailing address
15245 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-7201
(301) 869-9776
(301) 417-4947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420692406
—
MD
Enumeration date
10/23/2024
Last updated
04/01/2025
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