Lucksley Nzalle Ebwekane
Case Manager/Care Coordinator in Arlington, VA. Individual provider (NPI-1).
NPI number1700638434
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1700638434
- Entity type
- Individual (NPI-1)
- Name
- Lucksley Nzalle Ebwekane
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2900 S Glebe RdArlington, VA 22206-2752
Phone 620-418-3805
Mailing address
2900 S Glebe RdArlington, VA 22206-2752
Phone 620-418-3805
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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