Provider Demographics
NPI:1629396817
Name:SYKES, LAWANDA VERNA
Entity Type:Individual
Prefix:
First Name:LAWANDA
Middle Name:VERNA
Last Name:SYKES
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 1:750 N GRANTLEY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2033
Mailing Address - Country:US
Mailing Address - Phone:410-243-1002
Mailing Address - Fax:410-243-1033
Practice Address - Street 1:3612 FALLS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1869
Practice Address - Country:US
Practice Address - Phone:410-243-1002
Practice Address - Fax:410-243-1033
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy