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Organization
PASSPORT HEALTH
Active
Organization
PASSPORT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES L. LESSANS RN MSN (CEO)
(410) 727-0556
Entity
Organization
Contact information
Practice address
921 E FORT AVE STE 100, BALTIMORE, MD 21230-5135
(410) 727-0556
(410) 727-0696
Mailing address
921 E FORT AVE STE 100, BALTIMORE, MD 21230-5135
(410) 727-0556
(410) 727-0696
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
D0053043
MD
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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