Organization
EZIACESS NP HOUSECALLS LLC
Active
Other names
EziAcess
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA FORBIN NP (NURSE PRACTITIONER)
(301) 520-4135
Entity
Organization
Contact information
Practice address
2320 IVERSON ST STE 100, TEMPLE HILLS, MD 20748-6801
(848) 256-0360
Mailing address
14511 LAYHILL RD, SILVER SPRING, MD 20906-1914
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
R155157
MD
363LF0000X
Family Nurse Practitioner
Primary
R155157
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14037773
CAQH PROVIDER
MD
Enumeration date
10/05/2017
Last updated
04/22/2022
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