# PASSPORT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184957235
- **Authorized official:** MRS. FRANCES L. LESSANS RN MSN (CEO)
- **Authorized official phone:** (410) 727-0556

## Contact information

- **Practice address:** 921 E FORT AVE STE 100, BALTIMORE, MD 21230-5135
- **Practice address phone:** (410) 727-0556
- **Practice address fax:** (410) 727-0696
- **Mailing address:** 921 E FORT AVE STE 100, BALTIMORE, MD 21230-5135
- **Mailing address phone:** (410) 727-0556
- **Mailing address fax:** (410) 727-0696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | D0053043 | MD | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 09/08/2009