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NPI 1548190275 · on the registry since 2026 · sole proprietor

Practice

Address
11408 Falls Rd
Potomac, MD 20854
Phone
(227) 303-7468
Organisation at this address
Lifespan Communication & Development Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2026-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland