Provider Demographics
NPI:1922785096
Name:NZUWO FOTSI, LAUHIS GAITHAN (LN)
Entity Type:Individual
Prefix:
First Name:LAUHIS GAITHAN
Middle Name:
Last Name:NZUWO FOTSI
Suffix:
Gender:M
Credentials:LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14705 BOWIE RD APT 203
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1028
Mailing Address - Country:US
Mailing Address - Phone:240-579-4566
Mailing Address - Fax:
Practice Address - Street 1:14705 BOWIE RD APT 203
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1028
Practice Address - Country:US
Practice Address - Phone:240-579-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator