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Individual

ALLEGRA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6217 FAIRDEL AVE, BALTIMORE, MD 21206-2444
(443) 869-4983
Mailing address
1529 MEDFORD RD, BALTIMORE, MD 21218-2210
(443) 813-3197

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-00189
MD

Other

Enumeration date
12/25/2023
Last updated
12/25/2023
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