Individual
MR. LARRY N WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 486-1510
Mailing address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 486-1510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
04/13/2026
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