1871442376 NPI number — RICHEY LASER AND SKIN CANCER CENTER LLC

Table of content: MRS. LOSANA LEBA ROGOYAWA MIDWIFE (NPI 1003211632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871442376 NPI number — RICHEY LASER AND SKIN CANCER CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHEY LASER AND SKIN CANCER CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871442376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5454 WISCONSIN AVE STE 1310
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHEVY CHASE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20815-6901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-656-6868
Provider Business Mailing Address Fax Number:
515-515-0506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5454 WISCONSIN AVE STE 1310
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHEVY CHASE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20815-6901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-656-6868
Provider Business Practice Location Address Fax Number:
515-515-0506
Provider Enumeration Date:
01/27/2026

Additional Information

Authorized Official

Authorized Official Last Name:
RICHEY
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
FOUNDER AND MEDICAL DIRECTOR
Authorized Official Telephone Number:
301-651-3638

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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