Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawretta Aghomon, DR

Individual provider Nurse Practitioner · NPI 1639055031

Lawretta Aghomon, DR is a Nurse Practitioner in Randallstown, Maryland. Qualified in 2025, 1 year ago. Practices with Maryland Medical First PA, a 28-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2025

Practice location Address checks out

5412 Old Court Rd
Randallstown, MD 21133-5104
Phone: (410) 922-3200
Fax: (410) 922-4339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R218137 (MD)

Record details

NPI number1639055031
Entity typeIndividual (Type 1)
GenderFemale
Credentials DR
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address5412 Old Court Rd, Randallstown, MD 21133-5104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Maryland Medical First Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Randallstown