Provider Demographics
NPI:1730572165
Name:ARMBRUSTER, MONIKA LYNN (LAC)
Entity type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:LYNN
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 STATE ST
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2359
Mailing Address - Country:US
Mailing Address - Phone:410-643-3700
Mailing Address - Fax:
Practice Address - Street 1:430 KENT NARROWS WAY NORTH
Practice Address - Street 2:
Practice Address - City:GRASSONVILLE
Practice Address - State:MD
Practice Address - Zip Code:21638
Practice Address - Country:US
Practice Address - Phone:410-643-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00695171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist