Provider Demographics
NPI:1225376973
Name:BELL, CONRAD LUMA
Entity Type:Individual
Prefix:
First Name:CONRAD
Middle Name:LUMA
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5903 CHERRYWOOD LN
Mailing Address - Street 2:APT 201
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1270
Mailing Address - Country:US
Mailing Address - Phone:240-593-5870
Mailing Address - Fax:
Practice Address - Street 1:5903 CHERRYWOOD LN
Practice Address - Street 2:APT 201
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1270
Practice Address - Country:US
Practice Address - Phone:240-593-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide