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Individual

LACEY KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R227961
MD

Other

Enumeration date
12/14/2022
Last updated
12/14/2022
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