Individual
MEGHAN DALE LANDYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1830 YORK RD, TIMONIUM, MD 21093-5115
(410) 252-4015
(410) 252-7410
Mailing address
1519 N CAROLINE ST, BALTIMORE, MD 21213-2803
(860) 921-7396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004509
MD
Other
Enumeration date
08/04/2011
Last updated
07/15/2015
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