Individual
LORRIE BARBARA ZELESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
4800 SETON DR, BALTIMORE, MD 21215-3210
(410) 358-3410
Mailing address
4800 SETON DR, BALTIMORE, MD 21215-3210
(410) 358-3410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C000054
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285634329
MEDICARE NPI
MD
01
—
257834ZBAK
PTAN
MD
01
—
S238H643
PTAN
MD
Enumeration date
07/29/2005
Last updated
07/01/2013
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