Individual
LENNY RAY BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP, SMS
Contact information
Practice address
7167 WORCESTER HWY, NEWARK, MD 21841-2027
(410) 430-5160
Mailing address
PO BOX 64, SHARPTOWN, MD 21861-0064
(410) 430-5160
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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