Individual
LAUREN VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
101 N WOLFE ST APT 465, BALTIMORE, MD 21231-1745
(618) 401-5490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07343
MD
Other
Enumeration date
06/14/2019
Last updated
10/24/2019
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