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DR. LAWRENCE Y. C. AGODOA M.D.

Nephrology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1891856373

Individual Registrant:
DR. LAWRENCE Y. C. AGODOA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4650 TAYLOR RD 4650 TAYLOR ROAD BLDG 17A RM 3019 BETHESDA, MD 20889-5638 US
Tel: 202-782-6462  Fax: 202-782-0185

Contact information for business:
13217 GLENHILL RD  SILVER SPRING, MD 20904-3260 US
Tel: 301-384-9386  Fax: 301-594-9358

Registration Information:
NPI: 1891856373
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
Nephrology
MDD0035131
Y171000000XOther Service Providers
Military Health Care Provider
MDD0035131

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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