Provider Demographics
NPI:1326154303
Name:FELLOWS, ELIZABETH LANCASTER (MAC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LANCASTER
Last Name:FELLOWS
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
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Mailing Address - Street 1:6525 BELCREST RD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2003
Mailing Address - Country:US
Mailing Address - Phone:301-277-9020
Mailing Address - Fax:301-277-9023
Practice Address - Street 1:6525 BELCREST RD
Practice Address - Street 2:SUITE 414
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2003
Practice Address - Country:US
Practice Address - Phone:301-277-9020
Practice Address - Fax:301-277-9023
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDU01526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist