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Organization
PAVILION PEDIATRICS AT GREENSPRING STATION, PA
Active
Organization
PAVILION PEDIATRICS AT GREENSPRING STATION, PA
Active
Other names
Lawrence C. Pakula, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS FRANCIS GANUNIS M.D., F.A.A.P. (VICE PRESIDENT, MANAGING PARTNER)
(410) 583-2955
Entity
Organization
Contact information
Practice address
10755 FALLS ROAD, SUITE 260, LUTHERVILLE, MD 21093-4515
(410) 583-2955
(410) 583-2962
Mailing address
10755 FALLS ROAD, SUITE 260, LUTHERVILLE, MD 21093-4515
(410) 583-2955
(410) 583-2962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
11/21/2011
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