Healthcare Provider Details

I. General information

NPI: 1902732324
Provider Name (Legal Business Name): LAPAIXDESPRIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 BRETHREN DR
GAITHERSBURG MD
20879-5640
US

IV. Provider business mailing address

7905 BRETHREN DR
GAITHERSBURG MD
20879-5640
US

V. Phone/Fax

Practice location:
  • Phone: 240-686-5614
  • Fax:
Mailing address:
  • Phone: 240-686-5614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARIE BRIZARD DELICES
Title or Position: OWNER
Credential:
Phone: 240-686-5614