MEDICARE: RAYMOND S MCDONALD L.AC.

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
1	171100000X	Acupuncturist	U02925	MD

General Provider Information

NPI Number	:	1205565728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND S MCDONALD L.AC.

Provider Business Mailing Address
First Line	:	10424 HUNTLEY AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-3853
Country	:	US
Telephone Number	:	301-254-5245
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 GRACE DR STE A
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2473
Country	:	US
Telephone Number	:	240-389-4113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

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