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NPI Code Detail

MEDICARE: LANIKA WILSON

MEDICARE: LANIKA WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker28001MD

General Provider Information

NPI Number : 1326772815
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANIKA WILSON
Provider Business Mailing Address
First Line : 103A N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number : 410-734-2025
Provider Business Practice Location Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number : 410-734-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 01/16/2026

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Directions to “ LANIKA WILSON ” Practice Location

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