Individual
LONNIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS1
Contact information
Practice address
8901 WISCONSIN AVE, BLDG. 5 ROOM 128A, BETHESDA, MD 20889-0001
(301) 295-1659
(301) 295-1651
Mailing address
8901 WISCONSIN AVE, BLDG. 5 ROOM 128A, BETHESDA, MD 20889-0001
(301) 295-1659
(301) 295-1651
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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