Individual
LANEA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 CAMERON RD, BALTIMORE, MD 21212-4002
(410) 908-5853
Mailing address
7 GREENSHIRE LN, OWINGS MILLS, MD 21117-4813
(410) 908-5853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP52924
MD
172V00000X
Community Health Worker
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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