MEDICARE: GEORGE CHO LPN

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	164W00000X	Licensed Practical Nurse	LPN1004286	DC

General Provider Information

NPI Number	:	1962828335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE CHO LPN

Provider Business Mailing Address
First Line	:	8722 RITCHBORO RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8722 RITCHBORO RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2630
Country	:	US
Telephone Number	:	301-385-2222
Fax Number	:

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

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	03/10/2014

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Directions to “ GEORGE CHO LPN” Practice Location

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