Organization
HOLISTIC REPRODUCTIVE WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AASTASSHIA LYNN LACY NP (OWNER/PROVIDER)
(410) 870-9567
Entity
Organization
Contact information
Practice address
2806 BREWERS CROSSING WAY, HANOVER, MD 21076-2902
(480) 242-1736
Mailing address
3030 GREENMOUNT AVE STE 300, BALTIMORE, MD 21218-6907
(410) 870-9567
(949) 864-3194
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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