Individual
MRS. LAUREN ILENE MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN LCPC
Contact information
Practice address
2360 WEST JOPPA RD. JOPPA CONCOURSE, SUITE 200, JOHNS HOPKINS INTEGRATIVE MEDICINE AND DIGESTIVE CENTER, LUTHERVILLE, MD 21093
(443) 326-7023
Mailing address
2520 WILLOW GLEN DRIVE, BALTIMORE, MD 21209
(443) 326-7023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC5610
MD
133N00000X
Nutritionist
Primary
DX2974
MD
Other
Enumeration date
05/22/2007
Last updated
09/10/2024
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