Individual
BLAISE MILORD LONTSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13617 GRESHAM CT, BOWIE, MD 20720-5316
(301) 377-3451
Mailing address
13617 GRESHAM CT, BOWIE, MD 20720-5316
(301) 377-3451
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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