Provider Demographics
NPI:1396017083
Name:FRANCIS, SAMANTHA LINDSAY (MAC, LAC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LINDSAY
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GUM SPRING RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21716-1730
Mailing Address - Country:US
Mailing Address - Phone:301-660-3095
Mailing Address - Fax:
Practice Address - Street 1:24 GUM SPRING RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-1730
Practice Address - Country:US
Practice Address - Phone:301-660-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01866171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist