Individual
LAUREN MICHELLE SODERSTROM AKINMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3001 S HANOVER ST, SUITE 100, BALTIMORE, MD 21225-1233
(855) 633-0363
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0004205
PHYSICIAN ASST LICENSE
MD
Enumeration date
04/06/2010
Last updated
08/09/2016
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