Provider Demographics
NPI:1922212687
Name:NETHER, CARA MICHELE (LAC)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:MICHELE
Last Name:NETHER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1014 DULANEY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2702
Mailing Address - Country:US
Mailing Address - Phone:443-527-8425
Mailing Address - Fax:240-399-9055
Practice Address - Street 1:1014 DULANEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2702
Practice Address - Country:US
Practice Address - Phone:443-527-8425
Practice Address - Fax:240-399-9055
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01472171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist