Provider Demographics
NPI:1437821519
Name:FINNIH, LERE KAREEM
Entity Type:Individual
Prefix:
First Name:LERE
Middle Name:KAREEM
Last Name:FINNIH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11414 GLENN DALE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9459
Mailing Address - Country:US
Mailing Address - Phone:240-938-1635
Mailing Address - Fax:
Practice Address - Street 1:11414 GLENN DALE RIDGE RD
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9459
Practice Address - Country:US
Practice Address - Phone:240-938-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist