Individual
LAKEL EBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1502 PAGEANT CT, BOWIE, MD 20716-1601
(443) 455-0357
Mailing address
1502 PAGEANT CT, BOWIE, MD 20716-1601
(443) 455-0357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R185124
MD
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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