Individual
LIONEL MBOMNGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 733-4904
Mailing address
7001 ANTOCK PL, UPPER MARLBORO, MD 20772-4534
(240) 486-5275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
04/02/2025
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