Individual
LAURYN ANTOLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 N WALNUT ST FL 3, HAGERSTOWN, MD 21740-4738
(240) 527-2752
Mailing address
24 N WALNUT ST FL 3, HAGERSTOWN, MD 21740-4738
(240) 527-2752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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