Healthcare Provider Details

I. General information

NPI: 1285687228
Provider Name (Legal Business Name): NELSON LAPSHUN LUI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11908 DARNESTOWN RD SUITE D
N. POTOMAC MD
20878
US

IV. Provider business mailing address

11908 DARNESTOWN RD SUITE D
N. POTOMAC MD
20878
US

V. Phone/Fax

Practice location:
  • Phone: 301-990-1620
  • Fax: 301-990-8956
Mailing address:
  • Phone: 301-990-1620
  • Fax: 301-990-8956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0043869
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: