Individual
KELLY JEANNE LAFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5169
(443) 769-1276
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A120549
CA
2086X0206X
Surgical Oncology Physician
Primary
D76504
MD
Other
Enumeration date
05/04/2010
Last updated
09/18/2019
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