Individual
MRS. MARY JO LANPHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1837 PULASKI HWY, EDGEWOOD, MD 21040-1609
(410) 612-1657
Mailing address
2515 FAIRWAY DR, BEL AIR, MD 21015-6352
(410) 836-5016
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R096598
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R096589
NURSING LICENSE
MD
Enumeration date
03/16/2007
Last updated
07/08/2007
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