Basic Information
| Provider Information | |||||||||
| NPI: | 1649462755 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NESBITT | ||||||||
| FirstName: | LAQUANDRA | ||||||||
| MiddleName: | SHERESE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 899 N CAPITOL ST NE | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200024263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024425955 | ||||||||
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| Practice Location | |||||||||
| Address1: | 899 N CAPITOL ST NE | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200024263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024425955 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2007 | ||||||||
| LastUpdateDate: | 10/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D0063089 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 45081 | KY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD038198 | DC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.