Individual
LESLIE LYNN RANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8229
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F0711288
IA
363LF0000X
Family Nurse Practitioner
Primary
R203820
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335451200
—
MD
01
—
S062-5007
CAREFIRST
MD
Enumeration date
08/25/2011
Last updated
07/25/2014
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