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Individual

LAUREN MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2927 ODONNELL ST, BALTIMORE, MD 21224-4823
(443) 417-8016
Mailing address
2927 ODONNELL ST, BALTIMORE, MD 21224-4823
(443) 417-8016

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R197797
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R1977797
AG-ACNP
MD
Enumeration date
12/06/2022
Last updated
12/06/2022
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