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REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN NPI 1326091810


NPI Information

NPI: 1326091810
Provider Name: REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
12301 ACADEMY WAY
ROCKVILLE, MD
ZIP 20852
Phone: (301) 984-4444
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REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN is a clinic center in Rockville, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN NPI is 1326091810. The provider is registered as an organization entity type.

The provider's business location address is:

12301 ACADEMY WAY
ROCKVILLE, MD
ZIP 20852-000
Phone: (301) 984-4444
Fax: (301) 881-8073

The provider's authorized official is Tracye A Polson .
The authorized official title is Executive Director and has the following contact phone number (301) 984-4444.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center11020MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1721321MEDICARE PINMARYLAND
2266561100MEDICAIDMARYLAND
3W894930000MEDICARE UPIN

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: 4/28/2024

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