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Individual

MRS. ADI LAZARY-DAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0337
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R164095
MD
367A00000X
Advanced Practice Midwife
Primary
R164095
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R164095
MD LICENSE
MD
Enumeration date
11/04/2009
Last updated
09/16/2023
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