MRS. LA VERGNE ANDRE DPM NPI 1447423397

NPI Information

NPI: 1447423397
Provider Name: MRS. LA VERGNE ANDRE, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
14202 LAKE RUN CT
BOWIE, MD
ZIP 20720
Phone: (301) 323-5652
Get Directions

MRS. La Vergne Andre, DPM is a podiatrist in Bowie, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MRS. La Vergne Andre, DPM NPI is 1447423397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14202 LAKE RUN CT
BOWIE, MD
ZIP 20720-861
Phone: (301) 323-5652
Fax: (410) 740-2412

The enumeration date for this NPI number is 4/10/2008 and was last updated on 9/6/2011.

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	213E00000X	Podiatrist		1101	MARYLAND	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
1	4804740002	MEDICARE NSC	MARYLAND
2	T315	MEDICARE PIN	MARYLAND
3	168752	MEDICARE PIN	DISTRICT OF COLUMBIA

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: 5/5/2024

NPI Synchronization or Removal

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