Individual
MALLORY LOSTUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 SEVEN LOCKS RD STE 201, ROCKVILLE, MD 20854-2963
(301) 881-7995
(240) 236-9865
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(240) 236-9865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D83313
MD
Other
Enumeration date
04/29/2014
Last updated
03/31/2025
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