Organization
HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
Active
Other names
Women's Integrative Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
LAVON JEANINE MAGRUDER (OWNER)
(443) 204-1134
Entity
Organization
Contact information
Practice address
100 OWINGS COURT, STE 12, REISTERSTOWN, MD 21136
(410) 220-5600
Mailing address
100 OWINGS CT STE 12, REISTERSTOWN, MD 21136-6434
(410) 220-5600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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