Individual
DR. MARCUS LAVELLE MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6721 CHESAPEAKE CENTER DRIVE, GLEN BURNIE, MD 21060
(410) 863-1290
(410) 863-1292
Mailing address
3203 ABACUS CT, BOWIE, MD 20716-3883
(301) 464-0178
(410) 863-1292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020581860
—
MD
Enumeration date
11/01/2006
Last updated
08/11/2016
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