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Individual

MRS. LAUREN PALANK SOBOTKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, CPNP-PC

Contact information

Practice address
118 SHAWAN RD STE 220, HUNT VALLEY, MD 21030-1318
(410) 469-4950
(410) 601-6698
Mailing address
3419 EDWARDS LN, MIDDLE RIVER, MD 21220-2912

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R224646
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R224646
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20142571
PEDIATRIC NURSING CERTIFICATION BOARD
05
251205000
MD
01
R224646
MARYLAND BOARD OF NURSING
MD
Enumeration date
10/25/2014
Last updated
11/14/2024
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