Individual
LUCIE S LAVARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14004 VINTAGE LN, ACCOKEEK, MD 20607-3779
(240) 425-2720
Mailing address
14004 VINTAGE LN, ACCOKEEK, MD 20607-3779
(240) 425-2720
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R199508
MD
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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