Provider Demographics
NPI:1639065931
Name:MCEACHIN, LAMON D
Entity type:Individual
Prefix:MR
First Name:LAMON
Middle Name:D
Last Name:MCEACHIN
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 1:8927 HEATHERMORE BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5170
Mailing Address - Country:US
Mailing Address - Phone:202-812-6565
Mailing Address - Fax:
Practice Address - Street 1:300 L ST NE APT 409
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3517
Practice Address - Country:US
Practice Address - Phone:202-476-0653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant