Provider Demographics
NPI:1497050355
Name:DENNIS, LANORA DENISE
Entity Type:Individual
Prefix:MRS
First Name:LANORA
Middle Name:DENISE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1193
Mailing Address - Country:US
Mailing Address - Phone:240-278-7866
Mailing Address - Fax:
Practice Address - Street 1:8209 MEADOWOOD DR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1193
Practice Address - Country:US
Practice Address - Phone:240-278-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health