Individual
LANAE ELIZABETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
818 HIGH ST, SUITE 1, CHESTERTOWN, MD 21620-1152
(410) 778-6565
(410) 778-6536
Mailing address
818 HIGH ST, SUITE 1, CHESTERTOWN, MD 21620-1152
(410) 778-6565
(410) 778-6536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05880
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216582
MEDICARE PART A
MD
Enumeration date
06/10/2008
Last updated
02/12/2009
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