Individual
LARA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4525
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R170091
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R170091
MD
Other
Enumeration date
05/07/2020
Last updated
10/17/2025
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