Individual
DR. LYNN A STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, DEPT. OF REHAB. MEDICINE, BALTIMORE, MD 21215-5216
(410) 601-6587
(410) 601-9939
Mailing address
2401 W BELVEDERE AVE, DEPT. OF CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0060070
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0060070
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA8374
R./R MEDICARE GROUP
MD
01
—
P00816203
R/R MEDICARE
MD
Enumeration date
05/18/2006
Last updated
06/01/2010
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