Organization
LAMEH FANANAPAZIR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMEH FANANAPAZIR M.D. (PRESIDENT)
(301) 777-1997
Entity
Organization
Contact information
Practice address
12502 WILLOWBROOK ROAD, SUITE 420, CUMBERLAND, MD 21502-6567
(301) 777-1997
(301) 784-1759
Mailing address
12502 WILLOWBROOK RD, SUITE 420, CUMBERLAND, MD 21502-6567
(301) 777-1997
(301) 784-1759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D39832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015493
—
WV
05
—
408906500
—
MD
Enumeration date
06/04/2008
Last updated
06/14/2010
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