Provider Demographics
NPI:1538470950
Name:SHAPIRO, MOLLY B (LAC, DIPL OM)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:B
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 EAST WEST HWY
Mailing Address - Street 2:SUITE 505
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4522
Mailing Address - Country:US
Mailing Address - Phone:240-347-2323
Mailing Address - Fax:
Practice Address - Street 1:4405 EAST WEST HWY
Practice Address - Street 2:SUITE 505
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4522
Practice Address - Country:US
Practice Address - Phone:240-347-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01815171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist