Most Relevant Information
Provider Data
| NPI Number: | 1003506262 |
| Provider Name: | LAWANIS M PHILLIPS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024187086 |
Most Important Dates
| Enumeration Date: | 05/11/2023 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
14399 GALLANT FOX LN
STE 222
BOWIE
MD
20715
Practice Location Phone/Fax
| Phone: | 3012627800 |
| Fax: |
Provider Mailing Location
14399 GALLANT FOX LN
STE 222
BOWIE
MD
20715
Provider Mailing Phone/Fax
| Phone: | 3012627800 |
| Fax: |