Provider Demographics
NPI:1730127861
Name:SPECTOR, LORI LASHEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:LASHEN
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 HERONS FLIGHT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1295
Mailing Address - Country:US
Mailing Address - Phone:301-254-6222
Mailing Address - Fax:301-725-1371
Practice Address - Street 1:14207 PARK CENTER DR
Practice Address - Street 2:#105
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5261
Practice Address - Country:US
Practice Address - Phone:301-776-9686
Practice Address - Fax:301-776-9680
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD96401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice