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Lateefat Fagbenro
NPI 1346624939 · on the registry since 2015
Practice
- Address
- 3318 Dodge Park Rd Apt 101
Landover, MD 20785 - Phone
- (240) 413-1823
Additional practice sites
- 3211 75th Ave Apt 405, Landover, MD
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 390200000X
- Licence states on file
- MD, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland