Provider Demographics
NPI:1770605693
Name:KARFGIN, LANZ D (PHD)
Entity type:Individual
Prefix:DR
First Name:LANZ
Middle Name:D
Last Name:KARFGIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 FOREST DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4430
Mailing Address - Country:US
Mailing Address - Phone:410-255-9626
Mailing Address - Fax:410-974-8967
Practice Address - Street 1:1831 FOREST DR
Practice Address - Street 2:SUITE F
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4430
Practice Address - Country:US
Practice Address - Phone:410-255-9626
Practice Address - Fax:410-974-8967
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2588103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGG69Medicare ID - Type Unspecified