Individual
LUCI LEE REDMAN CASSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8900 COLUMBIA 100 PARWAY SUITE G, COLUMBIA, MD 21045
(410) 740-9001
(410) 740-9005
Mailing address
1022 S BOULDIN ST, BALTIMORE, MD 21224-5021
(310) 343-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R241345
MD
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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