Individual
MRS. LUCIE BAKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1217 KINGSBURY DRIVE, BOWIE, MD 20721
(240) 353-0696
Mailing address
1217 KINGSBURY DRIVE, BOWIE, MD 20721
(240) 353-0696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R237488
MD
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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