| Doctor Name: | MRS. MARY JO LANPHEAR |
| NPI Number: | 1114041258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R096598 |
| Business Practice Address: | 1837 Pulaski Hwy Edgewood, MD - 210401609 |
| Business Phone Number: | 4106121657 |
| Business Fax Number: | |
| Mailing Address: | 2515 Fairway Dr, BEL AIR |
| State: | MD |
| Postal Code: | 210156352 |
| Phone Number: | 4108365016 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R096598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |