Healthcare Provider Details

I. General information

NPI: 1972157253
Provider Name (Legal Business Name): BRITA MALUM LEKU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9905 GREENBELT RD APT 301
LANHAM MD
20706-2240
US

IV. Provider business mailing address

9905 GREENBELT RD APT 301
LANHAM MD
20706-2240
US

V. Phone/Fax

Practice location:
  • Phone: 240-260-8117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN5000023625
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: