Healthcare Provider Details

I. General information

NPI: 1780589994
Provider Name (Legal Business Name): LCS PWT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HAMILL RD STE 155W
BALTIMORE MD
21210-1806
US

IV. Provider business mailing address

2 HAMILL RD STE 155W
BALTIMORE MD
21210-1806
US

V. Phone/Fax

Practice location:
  • Phone: 410-464-0900
  • Fax:
Mailing address:
  • Phone: 410-464-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAURA COLESON
Title or Position: OWNER/ACUPUNCTURIST
Credential: LAC
Phone: 410-370-5858