Gomez, Laura

Gomez, Laura is an individual health care provider with primary practice located at 1150 Varnum St Ne , Washington DC 20017-2104. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Gomez, Laura can be contacted via phone (202) 854-7074.

Contact Information

Primary practice address
1150 Varnum St Ne Washington DC 20017-2104
Phone: (202) 854-7074
Fax: (202) 854-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0061518 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0061518 Maryland
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X D61518 Maryland
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD042957 District of Columbia

Profile Details

NPI number 1336183862
LBN Legal business name Gomez, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 1st, 2016 - about 9 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 1336183862 NPPES
Maryland MEDICAID 0020737
Maryland MEDICAID 3810013613

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