Provider Demographics
NPI:1245245844
Name:SHERLOCK, LAGUINN P (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAGUINN
Middle Name:P
Last Name:SHERLOCK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4954 N PALMER RD FL 5
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-1075
Mailing Address - Country:US
Mailing Address - Phone:301-400-1458
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-1075
Practice Address - Country:US
Practice Address - Phone:301-400-1458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00653237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0068OtherCAREFIRST REGIONAL
MD0389601OtherUNITED HLTHCARE
MD0389601OtherMDIPA
MD269745OtherMDIPA
MD227407OtherKAISER
MD803301300Medicaid
MD112716OtherUS HLTHCARE
MD68672501OtherBLUE SHIELD
MD803301300Medicaid
MD269745OtherMDIPA
MD68672501OtherBLUE SHIELD