Lolita D Penn, OWNER
Lolita D Penn, OWNER is an Optician in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2009.
- Licensed in
- MD
- In the registry since
- 2009
Practice location Address checks out
701 Russell Ave Ste D205Gaithersburg, MD 20877-2641
Phone: (301) 948-1868
Fax: (301) 948-7263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 13544230 (MD) |
|---|
Record details
| NPI number | 1255578886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OWNER |
| Sole proprietor | No |
| NPI enumerated | January 20, 2009 |
| Last updated in NPPES | January 20, 2009 |
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