Healthcare Provider Details

I. General information

NPI: 1437169638
Provider Name (Legal Business Name): MARY ELIZABETH LATIMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. M. ELIZABETH LATIMER

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 DEMOCRACY BLVD STE 555
BETHESDA MD
20817-7519
US

IV. Provider business mailing address

2401 PENNSYLVANIA AVE NW SUITE 400
WASHINGTON DC
20037-3708
US

V. Phone/Fax

Practice location:
  • Phone: 202-625-4898
  • Fax: 202-625-4899
Mailing address:
  • Phone: 202-625-4898
  • Fax: 202-625-4899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD37169
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: