LINGANORE MEDICAL PRACTICE LLC NPI 1437753001

NPI Information

NPI: 1437753001
Provider Name: LINGANORE MEDICAL PRACTICE, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1202 E PATRICK ST STE 4
FREDERICK, MD
ZIP 21701
Phone: (410) 596-0458
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LINGANORE MEDICAL PRACTICE, LLC is a family nurse practitioner in Frederick, MD. LINGANORE MEDICAL PRACTICE, LLC NPI is 1437753001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1202 E PATRICK ST STE 4
FREDERICK, MD
ZIP 21701-167
Phone: (410) 596-0458

The provider's authorized official is Mahrukh Khan .
The authorized official title is Owner and has the following contact phone number (410) 596-0458.

The enumeration date for this NPI number is 11/24/2020 and was last updated on 3/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	206054000	MEDICAID	MARYLAND
2	J356-0011	OTHER	MARYLAND	CAREFIRST BLUECROSS BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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