Individual
MARIA L LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Mailing address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R156462
IL
363L00000X
Nurse Practitioner
Primary
R156462
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-250-585-537-830
MD DRIVERS LICENSE
MD
Enumeration date
08/09/2019
Last updated
02/04/2025
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