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Organization
CLARKSBURG PEDIATRICS LLC
Active
Organization
CLARKSBURG PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN ELIZABETH HALEY CPNP-PC, IBCLC (PEDIATRIC PRIMARY CARE NP)
(301) 412-7278
Entity
Organization
Contact information
Practice address
23218 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 528-8181
Mailing address
23218 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 528-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R186838
MD
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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