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Individual

DR. CHRISTINE AJJAN LAKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
185 HARRY S TRUMAN PKWY STE 120, ANNAPOLIS, MD 21401
(410) 224-4442
(410) 224-8898
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L8587
TX
207VM0101X
Maternal & Fetal Medicine Physician
047348
CT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D85984
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222363500
MD
01
716871
MEDICARE
MD
01
716876
MEDICARE
MD
01
K480009
CAREFIRST BCBS
MD
Enumeration date
02/10/2006
Last updated
11/01/2018
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