Individual
LEE ANN WALKER-ILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(310) 350-3200
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(310) 350-3200
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R157275
MD
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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