Lonnie Douglas, HS1

NPI #1558486993 in Bethesda, Maryland

Provider Information

NPI Number: 1558486993
Entity Type: Individual
Name: Lonnie Douglas, HS1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: HS1
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8901 WISCONSIN AVE
Address 2: BLDG. 5 ROOM 128A
City: Bethesda
State: Maryland
ZIP Code: 20889-0001
Phone: (301) 295-1659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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