Organization
FIRST RESPONSE DOCTORS CLINIC
Active
Other names
Lum Mercy Maximuangu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUM MERCY MAXIMUANGU BC-NP (CHIEF MEDICAL OFFICER, BC-NP)
(240) 604-2949
Entity
Organization
Contact information
Practice address
11303 AMHERST AVE STE 2, SILVER SPRING, MD 20902-4600
(240) 604-2949
Mailing address
3214 BIRCHMEDE DR, ELLICOTT CITY, MD 21042-2302
(240) 604-2949
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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