Individual
MR. LACEL B PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 WILKENS AVE LOWR LEVEL20, BALTIMORE, MD 21229-5213
(410) 646-6970
(410) 644-5609
Mailing address
3455 WILKENS AVE LOWR LEVEL20, BALTIMORE, MD 21229-5213
(410) 646-6970
(410) 644-5609
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PR0205
MD
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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