Individual
DR. LAUREN ANNE MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8720 EMGE RD, PARKVILLE, MD 21234-3504
(410) 668-1961
Mailing address
278 POPLAR RD, MILLERSVILLE, MD 21108-1254
(410) 991-3029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R204681
MD
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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