Individual
MS. LAVERNE RENE' MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9600 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 782-3832
Mailing address
9600 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 782-3832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1010082
DC
Other
Enumeration date
09/25/2007
Last updated
09/28/2007
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