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Individual

DR. LIPISHREE NAYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9811 GREENBELT RD STE 101, LANHAM, MD 20706-2215
(301) 477-2311
(301) 477-2753
Mailing address
9811 GREENBELT RD STE 101, LANHAM, MD 20706-2215
(301) 477-2311
(301) 477-2753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0047259
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08145
AMERIGROUP
MD
05
914631800
MD
Enumeration date
11/15/2006
Last updated
04/01/2016
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