Provider Demographics
NPI:1467142968
Name:BELK MONROE, LAMONICA
Entity Type:Individual
Prefix:
First Name:LAMONICA
Middle Name:
Last Name:BELK MONROE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15104 JENNINGS LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-7208
Mailing Address - Country:US
Mailing Address - Phone:240-601-7919
Mailing Address - Fax:
Practice Address - Street 1:15104 JENNINGS LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-7208
Practice Address - Country:US
Practice Address - Phone:240-601-7919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant