Andre, La Vergne

Andre, La Vergne is an sole proprietor health care provider with primary practice located at 14202 Lake Run Ct , Bowie MD 20720-4861. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Andre, La Vergne can be contacted via phone (301) 323-5652.

Contact Information

Primary practice address
14202 Lake Run Ct Bowie MD 20720-4861
Phone: (301) 323-5652
Fax: (410) 740-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1101 Maryland

Profile Details

NPI number 1447423397
LBN Legal business name Andre, La Vergne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2008
Last updated Sep 6th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers