Healthcare Provider Details

I. General information

NPI: 1629073101
Provider Name (Legal Business Name): RICHARD SANFORD LAMSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 09/26/2022
Certification Date: 09/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 N WOLFE ST
BALTIMORE MD
21205-1113
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-3250
  • Fax: 410-955-7000
Mailing address:
  • Phone:
  • Fax: 410-955-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD51972
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: