Provider Demographics
NPI:1073682027
Name:LANKFORD, ARNOLD O (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:O
Last Name:LANKFORD
Suffix:
Gender:M
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3526
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21705-3526
Mailing Address - Country:US
Mailing Address - Phone:301-524-9816
Mailing Address - Fax:
Practice Address - Street 1:1200 BAKER PLACE
Practice Address - Street 2:SOUTH
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-524-9816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT00215748174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist