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Individual

LAUREN DUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC, M.AC

Contact information

Practice address
2000 GIRARD AVE, BALTIMORE, MD 21211-1595
(443) 791-1537
Mailing address
21 TROJAN HORSE DR, PHOENIX, MD 21131-1345
(443) 791-1537

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02541
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U02541
ACUPUNCTURE LICENSE
MD
Enumeration date
12/05/2018
Last updated
12/05/2018
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