Basic Information
| Provider Information | |||||||||
| NPI: | 1295473106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAPLANT | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 4TH ST SW APT 929 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200244583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107314403 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 POST OFFICE RD STE 105 | ||||||||
| Address2: | |||||||||
| City: | WALDORF | ||||||||
| State: | MD | ||||||||
| PostalCode: | 206022756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018932345 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2022 | ||||||||
| LastUpdateDate: | 05/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.