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NPI Code Detail

MEDICARE: DR. LORI LASHEN SPECTOR DMD

MEDICARE: DR. LORI LASHEN SPECTOR DMD
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
11223G0001XGeneral Practice Dentistry9640MD

General Provider Information

NPI Number : 1730127861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORI LASHEN SPECTOR DMD
Provider Business Mailing Address
First Line : 8805 HERONS FLIGHT
Second Line :
City : LAUREL
State : MD
Zip : 20723-1295
Country : US
Telephone Number : 301-254-6222
Fax Number : 301-725-1371
Provider Business Practice Location Address
First Line : 14207 PARK CENTER DR
Second Line : #105
City : LAUREL
State : MD
Zip : 20707-5261
Country : US
Telephone Number : 301-776-9686
Fax Number : 301-776-9680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/06/2008

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