Individual
LAFARRIS SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MR
Contact information
Practice address
3940 NEMO RD, RANDALLSTOWN, MD 21133-4041
(443) 922-0909
Mailing address
3940 NEMO RD, RANDALLSTOWN, MD 21133-4041
(443) 922-0909
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T00540238
MD
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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