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Individual

AYANNA LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
8200 PERRY HALL BLVD STE 138, BALTIMORE, MD 21236-4901
(410) 258-5548
Mailing address
1045 N BROADWAY, BALTIMORE, MD 21205-1121
(410) 419-0906

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
217777
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1744P3200X
MD
Enumeration date
01/30/2023
Last updated
01/30/2023
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