Individual
LEA ROSE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-8800
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1176945
NCCPA
—
01
—
C0007670
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
10/07/2020
Last updated
01/28/2021
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