Most Relevant Information
Provider Data
| NPI Number: | 1003466715 |
| Provider Name: | SUSAN MARIE L'HEUREUX |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | R073087 |
Most Important Dates
| Enumeration Date: | 09/14/2019 |
| Last Updated: | 09/14/2019 |
Provider Practice Location
3218 GREENWAY DR
ELLICOTT CITY
MD
210422418
Practice Location Phone/Fax
| Phone: | 4102941062 |
| Fax: |
Provider Mailing Location
3218 GREENWAY DR
ELLICOTT CITY
MD
210422418
Provider Mailing Phone/Fax
| Phone: | 4102941062 |
| Fax: |