Individual
STACI LEA COHEN AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1407 YORK RD STE 100A, LUTHERVILLE, MD 21093-6077
(410) 252-9090
Mailing address
1407 YORK RD STE 100A, LUTHERVILLE, MD 21093-6077
(410) 601-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
04/07/2021
Last updated
08/13/2026
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