| Lpt | |
|
8333 Cherry Ln Laurel MD 20707-4828 | |
| (301) 801-4626 | |
| (301) 576-4554 |
| Full Name | Lpt |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8333 Cherry Ln, Laurel, Maryland |
| Authorized Official Name and Position | Leandrea Banks (COFOUNDER) |
| Authorized Official Contact | 3018014626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lpt 8333 Cherry Ln Laurel MD 20707-4828 Ph: (301) 801-4626 | Lpt 8333 Cherry Ln Laurel MD 20707-4828 Ph: (301) 801-4626 |
| NPI Number | 1710251053 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710251053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14636 (Maryland) | Primary |
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