Individual
LAUREN DOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
9715 MEDICAL CENTER DR, SUITE 414, ROCKVILLE, MD 20850
(240) 826-6588
(301) 217-9303
Mailing address
11206 WELLAND ST, NORTH POTOMAC, MD 20878
(301) 424-3017
(240) 826-6580
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R121173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992782627
—
MD
Enumeration date
12/23/2005
Last updated
12/26/2018
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