Individual
LOURDES CLAIRE DE LAS ALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 SHEPHERD SQ, COLUMBIA, MD 21044-3114
(443) 804-1522
Mailing address
6005 SHEPHERD SQ, COLUMBIA, MD 21044-3114
(443) 804-1522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R185900
MD
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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