Provider Demographics
NPI:1437458783
Name:STONE, ROBERT LAWRENCE (LMT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:STONE
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Gender:M
Credentials:LMT
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Mailing Address - Street 1:11006 VEIRS MILL RD
Mailing Address - Street 2:L15-282
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2582
Mailing Address - Country:US
Mailing Address - Phone:301-933-7827
Mailing Address - Fax:240-290-0342
Practice Address - Street 1:11301 AMHERST AVE
Practice Address - Street 2:102
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4665
Practice Address - Country:US
Practice Address - Phone:301-933-7827
Practice Address - Fax:240-290-0342
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDM03121225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist