Doctor Name: | MS. LAFONDA M LEWIS |
NPI Number: | 1316053119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LPC |
License Number: | PRC13762 |
Business Practice Address: | 5100 Auth Way Kaiser Marlow Heights Medical Center Suitland, MD - 207464207 |
Business Phone Number: | 3017025000 |
Business Fax Number: | |
Mailing Address: | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment ROCKVILLE |
State: | MD |
Postal Code: | 208524908 |
Phone Number: | 3018162424 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PRC13762 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |