Individual
LAUREN PARK-YANOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W MOSHER ST, BALTIMORE, MD 21216-4500
(240) 478-8002
Mailing address
6308 BANBURY RD, IDLEWYLDE, MD 21239-1524
(240) 478-8002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07674
MD
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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