Individual
PIYUMI LANKA FONSEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 FORBES ST, SUITE 200, ANNAPOLIS, MD 21401-1538
(410) 263-6363
Mailing address
200 FORBES ST, SUITE 200, ANNAPOLIS, MD 21401-1538
(410) 263-6363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D72336
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2008
Last updated
07/13/2011
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