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NPI Code Detail

MEDICARE: BRIAN ANDERSON LANCASTER D.C.

MEDICARE: BRIAN ANDERSON LANCASTER 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
1111N00000XChiropractor0104555598VA

General Provider Information

NPI Number : 1477652220
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ANDERSON LANCASTER D.C.
Provider Business Mailing Address
First Line : 18901 FOUNTAIN HILLS DR
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-1872
Country : US
Telephone Number : 301-972-9350
Fax Number :
Provider Business Practice Location Address
First Line : 18901 FOUNTAIN HILLS DR
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-1872
Country : US
Telephone Number : 301-972-9350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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