Individual
DR. ADRIAN LASHONE HAREWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110-9378
(310) 445-5999
Mailing address
3746 FOOTHILL BLVD STE B140, GLENDALE, CA 91214-1740
(310) 445-5999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT196234
PA
208D00000X
General Practice Physician
Primary
C1-0010219
DE
208D00000X
General Practice Physician
MD447902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1-0010219
DELAWARE DEPARTMENT OF PROFESSIONAL REGULATIONS
DE
01
—
MD447902
PENNSYLVANIA STATE MEDICAL BOARD
PA
Enumeration date
06/14/2010
Last updated
05/25/2023
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