Laurel Pine Pediatrics Llc

LBN: Laurel Pine Pediatrics Llc
Laurel Pine Pediatrics Llc is an health care organization with primary practice located at 14333 Laurel Bowie Rd Suite 206, Laurel MD 20708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Laurel Pine Pediatrics Llc can be contacted via phone (301) 362-0506, or through Wossen, Wondu T. via phone (301) 362-0506.

Contact Information

Primary practice address
14333 Laurel Bowie Rd Suite 206 Laurel MD 20708
Phone: (301) 362-0506
Fax: (301) 362-6711
Website:
Map and Directions
Authorized official contact:
Name: Wossen, Wondu T. Doctor of Medicine (MD)
Phone: (301) 362-0506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D41251 Maryland

Profile Details

NPI number 1982986519
LBN Legal business name Laurel Pine Pediatrics Llc
DBA Doing business as
Authorized official Wossen, Wondu T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 9th, 2011
Last updated Sep 9th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982986519 NPPES
Maryland MEDICAID 649741100

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