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Export Provider Record NPI 1073723987
Lorenzo ChildressM.D.
Active
NPI Number1073723987
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1073723987
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-05-23
Last Updated2025-07-10
Mailing Address900 Elkridge Landing Rd
Linthicum, MD 21090-2924
United States
Phone: (301) 609-5044
📍 View Map
Primary Practice Address5 North Laplata Court, Suite 101
Waldorf, MD 20601-2807
United States
Phone: (240) 427-1926 | Fax: (240) 427-1927
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineMDD0065031
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About NPI 1073723987

Lorenzo Childress M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073723987. The primary specialty listed is Internal Medicine. The provider is located in Waldorf, MD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073723987?

NPI 1073723987 belongs to Lorenzo Childress M.D., a Internal Medicine in Waldorf, MD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073723987 active?

The current status of NPI 1073723987 in the NPPES registry is Active. The record was last updated on 2025-07-10.

What specialty is NPI 1073723987?

NPI 1073723987 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073723987?

You can verify NPI 1073723987 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073723987?

The primary practice address on file for NPI 1073723987 is 5 North Laplata Court, Waldorf, MD 20601-2807. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073723987 issued?

NPI 1073723987 was first issued (enumerated) on 2007-05-23. The NPPES record was last updated on 2025-07-10.

Practice Location Map

Lorenzo Childress is located at 5 North Laplata Court, Waldorf, MD. Use the map below to find directions or verify the practice location.

📍 5 North Laplata Court, Waldorf, MD 20601-2807  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lorenzo Childress. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073723987. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal MedicineD0065031MD
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162