# COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073334801
- **Authorized official:** IAN C LAMPKIN (CREDENTIALING PE SPECIALIST)
- **Authorized official phone:** (667) 303-1042

## Contact information

- **Practice address:** 20410 OBSERVATION DR STE 210, GERMANTOWN, MD 20876-6422
- **Practice address phone:** (301) 407-1466
- **Practice address fax:** (301) 417-4941
- **Mailing address:** 15245 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-7201
- **Mailing address phone:** (301) 869-9776
- **Mailing address fax:** (301) 417-4947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 04/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 420692401 | — | MD |