Provider Demographics
NPI:1225577828
Name:CEPHAS, LAVERNE SYLVIA
Entity Type:Individual
Prefix:
First Name:LAVERNE
Middle Name:SYLVIA
Last Name:CEPHAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9320 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3100
Mailing Address - Country:US
Mailing Address - Phone:301-577-4077
Mailing Address - Fax:301-577-4577
Practice Address - Street 1:9320 ANNAPOLIS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3100
Practice Address - Country:US
Practice Address - Phone:301-577-4077
Practice Address - Fax:301-577-4577
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies