Individual
LARA SHODEINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6881
(443) 849-2000
Mailing address
837 W 34TH ST, BALTIMORE, MD 21211-2502
(347) 306-2349
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R224292
MD
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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