MEDICARE: ALI LANKERANI D.C.

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	111N00000X	Chiropractor	02089	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G903	OTHER	DC	CAREFIRST DC
2	KEF3	OTHER	MD	CAREFIRST MD

General Provider Information

NPI Number	:	1407937790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI LANKERANI D.C.

Provider Business Mailing Address
First Line	:	710 LISBON CENTER DR
Second Line	:	SUITE H
City	:	WOODBINE
State	:	MD
Zip	:	21797-8629
Country	:	US
Telephone Number	:	301-620-9762
Fax Number	:	301-624-5731

Provider Business Practice Location Address
First Line	:	710 LISBON CENTER DR
Second Line	:	SUITE H
City	:	WOODBINE
State	:	MD
Zip	:	21797-8629
Country	:	US
Telephone Number	:	301-620-9762
Fax Number	:	301-624-5731

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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Directions to “ ALI LANKERANI D.C.” Practice Location

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