Individual
LOLITA D PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
701 RUSSELL AVE STE D205, GAITHERSBURG, MD 20877-2641
(301) 948-1868
(301) 948-7263
Mailing address
701 RUSSELL AVE STE D205, GAITHERSBURG, MD 20877-2641
(301) 948-1868
(301) 948-7263
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
13544230
MD
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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