Provider Demographics
NPI:1912268236
Name:CONNER, LUCY N
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:N
Last Name:CONNER
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 1:4001 POSTGATE TER
Mailing Address - Street 2:APT # 401
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-6007
Mailing Address - Country:US
Mailing Address - Phone:240-463-6851
Mailing Address - Fax:
Practice Address - Street 1:4001 POSTGATE TER
Practice Address - Street 2:APT # 401
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-6007
Practice Address - Country:US
Practice Address - Phone:240-463-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide