Provider Demographics
NPI:1972358745
Name:ACHA, LIONEL NJOH
Entity type:Individual
Prefix:
First Name:LIONEL
Middle Name:NJOH
Last Name:ACHA
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:LIONEL
Other - Middle Name:NJOH
Other - Last Name:ACHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11102 MAIDEN DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3586
Mailing Address - Country:US
Mailing Address - Phone:301-326-5118
Mailing Address - Fax:
Practice Address - Street 1:11102 MAIDEN DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3586
Practice Address - Country:US
Practice Address - Phone:301-326-5118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator