Lamont Randall Purpose Edwards
Individual provider Active NPI Contractor · Washington, DC
NPI 1558083907 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1558083907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1418 Good Hope Rd SE
Washington, DC 20020-5615 - Phone
- (202) 796-5000
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | VA | Yes |
Addresses
Primary practice location
1418 Good Hope Rd SE
Washington, DC 20020-5615
Mailing address
1418 Good Hope Rd SE
Washington, DC 20020-5615
Phone (202) 796-5000
Other providers in Washington, DC
- Karen Denise Edwards
- Kayla Edwards
- Kelsey Edwards
- Kira Edwards
- Kristi Edwards
- Lnikkae Edwards
- Monica Edwards
- Monica Edwards
- Nikka Edwards
- Patrick Fitzgerald Edwards
All providers in Washington, DC · Contractor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.