# HOLISTIC REPRODUCTIVE WELLNESS GROUP

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

## Provider details

- **NPI number:** 1588552640
- **Authorized official:** AASTASSHIA LYNN LACY NP (OWNER/PROVIDER)
- **Authorized official phone:** (410) 870-9567

## Contact information

- **Practice address:** 2806 BREWERS CROSSING WAY, HANOVER, MD 21076-2902
- **Practice address phone:** (480) 242-1736
- **Mailing address:** 3030 GREENMOUNT AVE STE 300, BALTIMORE, MD 21218-6907
- **Mailing address phone:** (410) 870-9567
- **Mailing address fax:** (949) 864-3194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 06/26/2025