Provider Demographics
NPI:1750384962
Name:LASHER, MARIANNE PHILLIPS (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:PHILLIPS
Last Name:LASHER
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 1:57 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2926
Mailing Address - Country:US
Mailing Address - Phone:301-722-6688
Mailing Address - Fax:301-722-0712
Practice Address - Street 1:57 GREENE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2926
Practice Address - Country:US
Practice Address - Phone:301-722-6688
Practice Address - Fax:301-722-0712
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1653276OtherUNITED CONCORDIA
MDDL44OtherBLUE CROSS BLUE SHIELD FE
MD018961800Medicaid