Lekaiban, Llc | |
14201 Laurel Park Dr Ste 221 Laurel MD 20707-5203 | |
(301) 801-4626 | |
(301) 576-4554 |
Full Name | Lekaiban, Llc |
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Speciality | Social Worker |
Location | 14201 Laurel Park Dr Ste 221, Laurel, Maryland |
Authorized Official Name and Position | Leandrea Banks (CEO-FOUNDER) |
Authorized Official Contact | 3018014626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lekaiban, Llc 10125 Colesville Rd Ste 138 Silver Spring MD 20901-2457 Ph: (301) 801-4626 | Lekaiban, Llc 14201 Laurel Park Dr Ste 221 Laurel MD 20707-5203 Ph: (301) 801-4626 |
NPI Number | 1114293263 |
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Provider Enumeration Date | 03/22/2012 |
Last Update Date | 08/24/2016 |
Medicare PECOS PAC ID | 2769625094 |
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Medicare Enrollment ID | O20130905000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114293263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Le Andrea Banks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326276312 PECOS PAC ID: 5092852665 Enrollment ID: I20131016000585 |
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