Individual
LEMLEM ERKETA EJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 MACDILL BLVD, WASHINGTON, DC 20340-0001
(703) 275-5049
Mailing address
200 MACDILL BLVD, WASHINGTON, DC 20340-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1034115
DC
363LP2300X
Primary Care Nurse Practitioner
NP1034115
DC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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