Individual
LEE CRANDALL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 YORK RD, SUITE 35, LUTHERVILLE, MD 21093-6210
(410) 321-1276
(410) 433-8793
Mailing address
1205 YORK RD, SUITE 35, LUTHERVILLE, MD 21093-6210
(410) 321-1276
(410) 433-8793
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0009446
MD
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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