Individual
MS. LORI B INDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2414
(301) 388-1740
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2414
(301) 388-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01810
MD
Other
Enumeration date
08/05/2006
Last updated
06/02/2021
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