Individual
ALLISON LOMONOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7692 TIMBERCROSS LN, GLEN BURNIE, MD 21060-8381
(443) 789-4058
Mailing address
7692 TIMBERCROSS LN, GLEN BURNIE, MD 21060-8381
(443) 789-4058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R223101
MD
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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