Individual
MS. MONTIA LORENZ GOLETTE-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2209 DEFENSE HWY, SUITE C, CROFTON, MD 21114-2403
(888) 808-6483
Mailing address
2209 DEFENSE HWY, SUITE C, CROFTON, MD 21114-2403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001966
MD
Other
Enumeration date
04/16/2009
Last updated
09/14/2012
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