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Organization

CHESAPEAKE SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE SHIN M.D. (MEMBER)
(410) 368-8323
Entity
Organization

Contact information

Practice address
10705 CHARTER DR STE 430, COLUMBIA, MD 21044-2870
(410) 368-8323
(410) 368-8324
Mailing address
10705 CHARTER DR STE 430, COLUMBIA, MD 21044-2870
(410) 368-8323
(410) 368-8324

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D43402
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229961500
MD
Enumeration date
10/07/2006
Last updated
03/17/2018
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