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Individual

DR. LORENA MARCANO BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
600 N. WOLFE STREET, PATHOLOGY BLDG., RM. 401, BALTIMORE, MD 21287
(410) 955-3980
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
D0099019
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0099019
MD

Other

Enumeration date
07/01/2020
Last updated
07/30/2025
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