Individual
DR. DENNIS LYNN HEADINGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
(410) 321-9393
Mailing address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
(410) 321-9393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0019255
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0019255
MEDICAL LICENSE
MD
01
—
M04262
MARYLAND CDS LICENSE
MD
Enumeration date
12/13/2005
Last updated
03/07/2023
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