Individual
LYNNE A MASTERVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7501 OSLER DR, THIRD FLOOR, TOWSON, MD 21204-7736
(410) 583-1170
(410) 583-1267
Mailing address
1838 GREENE TREE ROAD, SUITE 150- LL, BALTIMORE, MD 21208
(410) 602-9262
(410) 602-9276
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002809
MD
Other
Enumeration date
07/04/2006
Last updated
10/28/2010
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