Individual
DR. ERKEDA LACHERISH DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-5012
Mailing address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-5012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101265269
VA
207Q00000X
Family Medicine Physician
Primary
D79791
MD
207Q00000X
Family Medicine Physician
MD046844
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
04/25/2019
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