Individual
DR. MONTA LAVAE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FORBES STREET, SUITE 200, ANNAPOLIS, MD 21401
(410) 263-6363
(410) 263-4086
Mailing address
200 FORBES STREET, SUITE 200, ANNAPOLIS, MD 21401
(410) 263-6363
(410) 263-4086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D63209
MD
208000000X
Pediatrics Physician
MD33125
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37492800
—
DC
Enumeration date
10/23/2006
Last updated
03/07/2023
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