Individual
LUCY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 290-6424
Mailing address
817 N CALVERT ST, BALTIMORE, MD 21202-3705
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN54929
MD
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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