Organization
BALTIMORE WORK REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE MICHAEL YALICH DC (VICE PRESIDENT)
(410) 933-8494
Entity
Organization
Contact information
Practice address
7138 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(410) 590-9898
(410) 590-9899
Mailing address
3 NASHUA CT, SUITE H, BALTIMORE, MD 21221-3133
(443) 579-1062
(410) 933-4835
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBC3BA
CAREFIRST
MD
Enumeration date
06/09/2006
Last updated
08/22/2020
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