Healthcare Provider Details

I. General information

NPI: 1629835251
Provider Name (Legal Business Name): MR. LAMBERT MEKEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 HUBBLE DR
LANHAM MD
20706-2496
US

IV. Provider business mailing address

8008 HUBBLE DR
LANHAM MD
20706-2496
US

V. Phone/Fax

Practice location:
  • Phone: 240-714-7869
  • Fax:
Mailing address:
  • Phone: 240-714-7869
  • 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: