Basic Information
Provider Information
NPI: 1427632389
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPLANTE
FirstName: REID
MiddleName: LEWIS
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 29 S GREENE ST STE 400
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212011504
CountryCode: US
TelephoneNumber: 4103288167
FaxNumber:  
Practice Location
Address1: 29 S GREENE ST STE 400
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212011504
CountryCode: US
TelephoneNumber: 4103288667
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2021
LastUpdateDate: 05/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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