Mrs Aastasshia Lynn Lacy, FNP-BC | |
4200 Altamont Pl, White Plains, MD 20695-3052 | |
(301) 645-2774 | |
Not Available |
Full Name | Mrs Aastasshia Lynn Lacy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4200 Altamont Pl, White Plains, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992107296 | NPI | - | NPPES |
0024172066 | Other | VA | STATE LICENSE |
R187768 | Other | MD | MARYLAND STATE BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024172066 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | R187768 (Maryland) | Primary |
Entity Name | Community Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
Mailing Address | Practice Location Address |
---|---|
Mrs Aastasshia Lynn Lacy, FNP-BC 4200 Altamont Pl, White Plains, MD 20695-3052 Ph: (301) 645-3774 | Mrs Aastasshia Lynn Lacy, FNP-BC 4200 Altamont Pl, White Plains, MD 20695-3052 Ph: (301) 645-2774 |
Karen D Darden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Altamont Pl, White Plains, MD 20695 Phone: 866-389-2727 | |
Michelle Lorenzo Diaz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4475 Regency Pl Ste 303, White Plains, MD 20695 Phone: 301-645-3420 Fax: 301-751-7923 | |
Tracey Royer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Altamont Pl, White Plains, MD 20695 Phone: 866-389-2727 Fax: 401-652-2184 | |
Karla Washington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4255 Altamont Pl Ste 301, White Plains, MD 20695 Phone: 301-645-1781 | |
Adora Nancy Bosah, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5010 Regency Pl, White Plains, MD 20695 Phone: 240-427-3554 | |
Meghan Seaman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4255 Altamont Pl Ste 301, White Plains, MD 20695 Phone: 301-645-1781 | |
Mrs. Awawu Aramide Ojikutu-agbabiaka, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4545 Crain Hwy, White Plains, MD 20695 Phone: 301-609-6700 Fax: 301-609-1234 |