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Organization

LEANDER GREEN

Active
Other names
Helping Others Pursue Excellence
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEANDER EDWARD GREEN (CEO/ADMINISTRATOR)
(757) 729-1271
Entity
Organization

Contact information

Practice address
14223 LUSBY RIDGE RD, ACCOKEEK, MD 20607-3762
(757) 729-1271
(202) 563-7256
Mailing address
14223 LUSBY RIDGE RD, ACCOKEEK, MD 20607-3762
(757) 729-1271

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
11/02/2012
Last updated
11/02/2012
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