Doctor Name: | MR. LUCAS FON |
NPI Number: | 1548604143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5207 Melwood Park Ave Upper Marlboro, MD - 207727427 |
Business Phone Number: | 2404618569 |
Business Fax Number: | |
Mailing Address: | 5207 Melwood Park Ave, UPPER MARLBORO |
State: | MD |
Postal Code: | 207727427 |
Phone Number: | 2404618569 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251E00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Health |
Taxonomy Specialization: | |
Taxonomy Definition: | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |