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Individual

LINDSAY BLAKE GOICOCHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-2896
(443) 849-3016
Mailing address
PO BOX 43130, BALTIMORE, MD 21236-0130
(410) 931-0400
(410) 931-1009

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D75368
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670995000
MD
Enumeration date
05/28/2009
Last updated
10/22/2018
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