Individual
DR. LOIS E NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 SISTER PIERRE DR, SUITE # 206, TOWSON, MD 21204-7516
(410) 296-3650
(410) 296-3641
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0038327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KF68/ 403096-01
BC/BS OF MD
MD
01
—
S190 / 0002
BLUE CHOICE
MD
Enumeration date
07/14/2006
Last updated
07/08/2007
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