Healthcare Provider Details

I. General information

NPI: 1427964238
Provider Name (Legal Business Name): SOMERSET PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 W MAIN ST
CRISFIELD MD
21817-1329
US

IV. Provider business mailing address

31 HARBORVIEW RD
LEWES DE
19958-1245
US

V. Phone/Fax

Practice location:
  • Phone: 667-868-4027
  • Fax:
Mailing address:
  • Phone: 240-346-5721
  • Fax: 667-868-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN MARIE LEBARRON
Title or Position: REGISTERED DIETITIAN
Credential: MS, RDN
Phone: 240-346-5721