Individual
MRS. LAUREN COSETTI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9730 HEALTHWAY DRIVE, BERLIN, MD 21811-1154
(410) 629-0164
(410) 629-0185
Mailing address
6040 PUBLIC LANDING ROAD, SNOW HILL, MD 21863-2453
(410) 632-1100
(410) 632-5682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
03/22/2007
Last updated
05/04/2012
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