Individual
LORRAINE CLAIRE RACUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-1265
Mailing address
PO BOX 64478, BALTIMORE, MD 21264-4478
(410) 955-2660
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D30875
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440191300
—
MD
Enumeration date
06/03/2006
Last updated
02/15/2013
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