Healthcare Provider Details

I. General information

NPI: 1780510404
Provider Name (Legal Business Name): MS. LENORE NANNETTE GUTHRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3923 MINNESOTA AVE NE
WASHINGTON DC
20019-2662
US

IV. Provider business mailing address

7621 NEWBURG DR
LANHAM MD
20706-4610
US

V. Phone/Fax

Practice location:
  • Phone: 202-839-5310
  • Fax:
Mailing address:
  • Phone: 301-351-9166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: