Individual
MS. AMBER LYNNE LEASE-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223E NATIONAL HWY, LAVALE, MD 21502-7602
(240) 807-8340
Mailing address
1223E NATIONAL HWY, LAVALE, MD 21502-7602
(240) 807-8340
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
1528701406
MD
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
05/11/2022
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