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Organization
LORRAINE OFORI-AWUAH MD PA
Active
Organization
LORRAINE OFORI-AWUAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE BEATRICE OFORI-AWUAH MD (PRESIDENT)
(410) 960-8164
Entity
Organization
Contact information
Practice address
5430 CAMPBELL BLVD, STE 214, WHITE MARSH, MD 21162
(410) 933-4970
(410) 933-4971
Mailing address
9305 GLEN VISTA RD, PERRY HALL, MD 21128
(410) 933-4970
(410) 933-4971
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DOO61789
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405496200
—
MD
Enumeration date
08/21/2006
Last updated
10/21/2011
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