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Organization
FIRST RESPONSE DOCTORS CLINIC
Active
Organization
FIRST RESPONSE DOCTORS CLINIC
Active
Other names
Lum Mercy Maximuangu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUM MERCY MAXIMUANGU BC-NP (CHIEF MEDICAL OFFICER, BC-NP)
(240) 604-2949
Entity
Organization
Contact information
Practice address
11303 AMHERST AVE STE 2, SILVER SPRING, MD 20902-4600
(240) 604-2949
Mailing address
3214 BIRCHMEDE DR, ELLICOTT CITY, MD 21042-2302
(240) 604-2949
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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