Individual
MS. LESLIE LOCKETT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC LAC
Contact information
Practice address
9170 RT 108, SUITE 202, COLUMBIA, MD 21045
(410) 340-2618
Mailing address
6362 RED HAVEN ROAD, COLUMBIA, MD 21045
(410) 340-2618
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01434
MD
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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