Dome, Lauren

Dome, Lauren is an individual health care provider with primary practice located at 9715 Medical Center Dr Suite 414, Rockville MD 20850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dome, Lauren can be contacted via phone (240) 826-6588.

Contact Information

Primary practice address
9715 Medical Center Dr Suite 414 Rockville MD 20850
Fax: (301) 217-9303
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R121173 Maryland

Profile Details

NPI number 1992782627
LBN Legal business name Dome, Lauren
Credentials RN/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Dec 26th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992782627 NPPES
Maryland MEDICAID 1992782627

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