MEDICARE: LAURA L RIGGINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MA07513000	NJ
2	207Q00000X	Family Medicine Physician	D0078707	MD
3	207Q00000X	Family Medicine Physician	0101253223	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780695163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA L RIGGINS MD

Provider Business Mailing Address
First Line	:	900 E SWAN CREEK RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5250
Country	:	US
Telephone Number	:	301-373-7900
Fax Number	:	301-373-6900

Provider Business Practice Location Address
First Line	:	900 E SWAN CREEK RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5250
Country	:	US
Telephone Number	:	301-373-7900
Fax Number	:	301-373-6900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	05/19/2021

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