Individual
TERESA LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
68 S. SERVICE RD., STE 350, MELVILLE, NY 11747-2358
(516) 945-3347
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
799517
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AC001484
MD
Other
Enumeration date
01/07/2015
Last updated
03/27/2015
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