Leander Green

NPI #1376897959 in Accokeek, Maryland

Provider Information

NPI Number
1376897959
Entity Type
Organization
Organization Name
Leander Green
Primary Specialty
Health Maintenance Organization
Enumeration Date
Nov 2, 2012
Last Updated
Nov 2, 2012

Practice Location

Address
14223 LUSBY RIDGE RD
ZIP Code
20607-3762
Phone
(757) 729-1271

Authorized Official

Name
MR. LEANDER EDWARD GREEN
Title
CEO/ADMINISTRATOR
Phone
(757) 729-1271

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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