Provider Demographics
NPI:1316154297
Name:MCNEAL, LAUREN P (L AC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:P
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 DEFENSE HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7015
Mailing Address - Country:US
Mailing Address - Phone:410-571-9993
Mailing Address - Fax:
Practice Address - Street 1:133 DEFENSE HWY STE 105
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7015
Practice Address - Country:US
Practice Address - Phone:410-571-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01293171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist