Basic Information
Provider Information
NPI: 1326223454
EntityType: 2
ReplacementNPI:  
OrganizationName: LANA L. RIGBY
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: LANA L. RIGBY LLC
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 22534
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212034534
CountryCode: US
TelephoneNumber: 3014982922
FaxNumber: 3014983074
Practice Location
Address1: 1500 FOREST GLEN RD
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209101483
CountryCode: US
TelephoneNumber: 3017547000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/08/2008
LastUpdateDate: 06/01/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RIGBY
AuthorizedOfficialFirstName: LANA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 3019223190
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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