Provider Demographics
NPI:1437144557
Name:MORRISON, ALAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEE
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 HOSPITAL DR
Mailing Address - Street 2:PATHOLOGY DEPARTMENT
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5803
Mailing Address - Country:US
Mailing Address - Phone:410-787-4543
Mailing Address - Fax:410-595-1991
Practice Address - Street 1:301 HOSPITAL DR
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5803
Practice Address - Country:US
Practice Address - Phone:410-787-4543
Practice Address - Fax:410-595-1991
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2011-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0042419207ZN0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG84741Medicare UPIN
MDR198Medicare PIN