Organization
COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN C LAMPKIN (CREDENTIALING PE SPECIALIST)
(667) 303-1042
Entity
Organization
Contact information
Practice address
18550 OFFICE PARK DR, MONTGOMERY VILLAGE, MD 20886-0586
(301) 330-2700
(301) 417-4937
Mailing address
15825 SHADY GROVE RD STE 140, ROCKVILLE, MD 20850-4015
(667) 303-1042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420692404
—
MD
Enumeration date
10/23/2024
Last updated
10/23/2024
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