Individual
LACEE OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3128 WESTMINSTER ST, MANCHESTER, MD 21102-1893
(410) 374-1414
(410) 374-1443
Mailing address
PO BOX 7, MANCHESTER, MD 21102-0007
(410) 374-1414
(410) 374-1443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R201473
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R201473
MARYLAND BOARD OF NURSING
MD
Enumeration date
03/18/2021
Last updated
03/18/2021
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