Individual
LAUREN TABARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 RIDGELYS CHOICE DR, BALTIMORE, MD 21236-2953
(410) 812-7220
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R201271
MD
Other
Enumeration date
04/01/2021
Last updated
05/21/2024
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