Individual
MS. LUCY KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN-BSN
Contact information
Practice address
12164 CENTRAL AVE STE 228, MITCHELLVILLE, MD 20721-1903
(240) 838-8911
Mailing address
1206 ASHLEIGH STATION CT, BOWIE, MD 20721-6005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R212944
MD
164W00000X
Licensed Practical Nurse
LPN1002389
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R212944
MD
Other
Enumeration date
08/28/2012
Last updated
01/18/2026
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