Larry N Whitaker
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1023718905
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1023718905
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry N Whitaker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
4130 Hunt Pl NeWashington, DC 20019-3565
Phone 202-486-1510
Mailing address
4130 Hunt Pl NeWashington, DC 20019-3565
Phone 202-486-1510
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