# LAUREEN GALLO INC

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

## Provider details

- **NPI number:** 1235315276
- **Authorized official:** MS. LAUREEN GALLO CRNP (OWNER)
- **Authorized official phone:** (410) 213-7937

## Contact information

- **Practice address:** 12417 OCEAN GTWY, A6, OCEAN CITY, MD 21842-9521
- **Practice address phone:** (410) 213-7937
- **Practice address fax:** (410) 213-7939
- **Mailing address:** 12417 OCEAN GTWY, A6, OCEAN CITY, MD 21842-9521
- **Mailing address phone:** (410) 213-7937
- **Mailing address fax:** (410) 213-7939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0001194155 | VA | Yes |

## Other

- **Enumeration date:** 01/20/2008
- **Last updated:** 01/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146021800 | — | MD |