Individual
LAUREN HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1447 YORK RD STE 602, LUTHERVILLE TIMONIUM, MD 21093-6034
(410) 825-6010
Mailing address
1039 SAINT PAUL ST, BALTIMORE, MD 21202-2605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16692
MD
Other
Enumeration date
04/02/2018
Last updated
04/30/2020
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