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Individual

MRS. OLGA AGNIESZKA LANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, CRNP

Contact information

Practice address
3989 BOSTON ST, BALTIMORE, MD 21224-5759
(410) 834-7547
Mailing address
927 MORGAN RUN RD, MIDDLE RIVER, MD 21220-2163
(410) 530-2898

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95066082
CA
363LF0000X
Family Nurse Practitioner
Primary
R209342
MD

Other

Enumeration date
03/31/2020
Last updated
08/24/2021
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