Healthcare Provider Details

I. General information

NPI: 1578297982
Provider Name (Legal Business Name): JUDITH ANNE LANKFORD FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 DENTON PLZ
DENTON MD
21629-9501
US

IV. Provider business mailing address

6873 AIRPORT RD
LAUREL DE
19956-4211
US

V. Phone/Fax

Practice location:
  • Phone: 443-606-2300
  • Fax:
Mailing address:
  • Phone: 302-841-2212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012030
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC006642
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: