Healthcare Provider Details

I. General information

NPI: 1588538607
Provider Name (Legal Business Name): ANCHOR DERMATOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 NORTHVIEW DR STE 200
BOWIE MD
20716-2640
US

IV. Provider business mailing address

43 SOUTHGATE AVE
ANNAPOLIS MD
21401-2828
US

V. Phone/Fax

Practice location:
  • Phone: 443-637-2888
  • Fax:
Mailing address:
  • Phone: 443-637-2888
  • Fax: 443-441-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL LONERGAN
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 704-968-7189