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Individual

LAUREN M MC GOVERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 E CARROLL ST, DEPARTMENT OF PEDIATRICS, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
100 E CARROLL ST, DEPARTMENT OF PEDIATRICS, SALISBURY, MD 21801-5422

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46794
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
517423600
MN
Enumeration date
02/09/2006
Last updated
06/17/2010
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