Individual
DR. LAWRENCE MILLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 302 PROFESSIONAL BLDG, BALTIMORE, MD 21239-2995
(410) 532-4372
(410) 532-4371
Mailing address
5601 LOCH RAVEN BLVD, SUITE 302 PROFESSIONAL BLDG, BALTIMORE, MD 21239-2995
(410) 532-4372
(410) 532-4371
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D12809
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152711800
—
MD
01
—
BS6046
BLUE SHIELD
—
01
—
T128
BLUE CHOICE BLUE SHIELD
—
Enumeration date
11/03/2006
Last updated
04/28/2008
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