Individual
MR. TAMIRU DUBALE LAWGAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2454
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7604
(410) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004732
MD
Other
Enumeration date
06/22/2012
Last updated
08/24/2012
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