NPI 1558180653

Lavangela Smith Bucknot

Practitioner Supports Brokerage Agency District Heights, MD

Practice location

Address: 1426 Shady Glen Dr, District Heights, MD 20747-1714
Phone: (404) 953-9704

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Maryland →

Registry record

NPI: 1558180653
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2024
Record last updated: 7 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.