Mackenzie Libengood
Mackenzie Libengood is a Student in an Organized Health Care Education/Training Program in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2025.
- Licensed in
- MD
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
110 Mall Cir Ste 2001Waldorf, MD 20602
Phone: (301) 705-8444
Fax: (301) 705-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence TA3086 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1730979261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 8, 2025 |
| Last updated in NPPES | August 14, 2025 |
| Certification date | August 12, 2025 |
| Mailing address | 110 Mall Cir, Suite 2001, Waldorf, MD 20603 |
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