Individual
LORI PASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
(410) 222-6916
Mailing address
795 DIVIDING RD, SEVERNA PARK, MD 21146-4305
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R138498
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5528
—
MD
Enumeration date
04/24/2007
Last updated
07/09/2007
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