Organization
LANCASTER PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUNIYA REBECCA LANCASTER M.D (OWNER)
(410) 480-2803
Entity
Organization
Contact information
Practice address
2850 N RIDGE RD, SUITE 102, ELLICOTT CITY, MD 21043-3464
(410) 480-2803
(410) 480-2806
Mailing address
2850 N RIDGE RD, SUITE 102, ELLICOTT CITY, MD 21043-3464
(410) 480-2803
(410) 480-2806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054201
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404110100
—
MD
Enumeration date
09/24/2008
Last updated
10/05/2010
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