Most Relevant Information
Provider Data
| NPI Number: | 1003417163 |
| Provider Name: | LALA ANN MINER CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | AC003392 |
Most Important Dates
| Enumeration Date: | 11/05/2020 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
730 FURNACE ST
CUMBERLAND
MD
215021564
Practice Location Phone/Fax
| Phone: | 3017775941 |
| Fax: |
Provider Mailing Location
785 ELKRIDGE LANDING RD STE 300
LINTHICUM HEIGHTS
MD
210902958
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |