# SDM-1 STOP PRIMARY & URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAURE B. NDEUTCHOUA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316397177
- **Authorized official:** MRS. LAURE BERTILLE NDEUTCHOUA FNP-C (CEO)
- **Authorized official phone:** (240) 383-8705

## Contact information

- **Practice address:** 6325 KINSEY TER, LANHAM, MD 20706-2396
- **Practice address phone:** (240) 383-8705
- **Mailing address:** 6401 NEW HAMPSHIRE AVE, SUITE 100, HYATTSVILLE, MD 20783-3201
- **Mailing address phone:** (240) 383-8705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | RN1017163 | DC | — |
| 261QU0200X | Urgent Care Clinic/Center | RN1017163 | MD | Yes |

## Other

- **Enumeration date:** 06/13/2016
- **Last updated:** 08/25/2016