Doctor Name: | LAKEISCHA WEBB MCMILLAN |
NPI Number: | 1538382312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 65386 |
Business Practice Address: | 6201 Greenbelt Rd U8a Berwyn Heights, MD - 207402354 |
Business Phone Number: | 3015130200 |
Business Fax Number: | 3015130555 |
Mailing Address: | 8228 Harvest Bend Ln, 23 LAUREL |
State: | MD |
Postal Code: | 207076150 |
Phone Number: | 3016043497 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 65386 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |