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Contact Information

LA VERGNE ANDRE, DPM
14202 LAKE RUN CT
BOWIE, MD20720-4861
 Phone: 301-323-5652
 Fax: 410-740-2412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LA VERGNE ANDRE · (Female)

NPI # 1447423397
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/10/2008
Last updated 09/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 1101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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