# LEA ROSE FOSTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245837749
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C0007670 | MD | Yes |

## Other

- **Enumeration date:** 10/07/2020
- **Last updated:** 01/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1176945 | NCCPA | — |
| 01 | — | C0007670 | MARYLAND BOARD OF PHYSICIANS | MD |