Organization
DISTRICT PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUBRINA E LOUIS-JACQUES DPM (OWNER)
(202) 388-5303
Entity
Organization
Contact information
Practice address
1647 BENNING RD NE, SUITE 200, WASHINGTON, DC 20002-4569
(202) 388-5303
(202) 388-5305
Mailing address
1647 BENNING RD NE, SUITE 200, WASHINGTON, DC 20002-4569
(202) 388-5303
(202) 388-5305
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300768
VA
213E00000X
Podiatrist
Primary
P01000007
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170242700
—
DC
01
—
2155212
UNITED HEALTHCARE
DC
01
—
22390
DC CHARTERED
DC
01
—
4699
BRAVO
DC
01
—
480032058
RAILROAD MEDICARE
GA
05
—
9304151
—
VA
Enumeration date
09/05/2008
Last updated
09/05/2008
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