Provider Demographics
NPI:1770467557
Name:COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING PE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-303-1042
Mailing Address - Street 1:15245 SHADY GROVE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7201
Mailing Address - Country:US
Mailing Address - Phone:301-869-9776
Mailing Address - Fax:301-417-4947
Practice Address - Street 1:4407 HARTWICK RD STE 13
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3209
Practice Address - Country:US
Practice Address - Phone:240-238-4260
Practice Address - Fax:703-878-2133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty