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Organization
LHCA'S DIABETES DISEASE STATE MANAGEMENT CENTER
Active
Organization
LHCA'S DIABETES DISEASE STATE MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO E HENDRICKS JR. PHD, LICSW (CEO)
(301) 942-0678
Entity
Organization
Contact information
Practice address
3937 FERRARA DR, SILVER SPRING, MD 20906-4709
(301) 942-0678
(301) 942-0079
Mailing address
3116 FESSENDEN ST NW, WASHINGTON, DC 20008-2029
(301) 942-0678
(301) 942-0079
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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