Provider Demographics
NPI:1902673023
Name:ONCALL MEDICAL PROVIDERS, LLC
Entity type:Organization
Organization Name:ONCALL MEDICAL PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAGUERRE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-347-2430
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-0015
Mailing Address - Country:US
Mailing Address - Phone:240-347-2430
Mailing Address - Fax:949-695-4189
Practice Address - Street 1:8807 BRIARCLIFF LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5887
Practice Address - Country:US
Practice Address - Phone:240-347-2430
Practice Address - Fax:949-695-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care