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Individual

LAVONNE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
131 MAIN ST, PRINCE FREDERICK, MD 20678-3336
(410) 535-6975
(410) 535-6915
Mailing address
131 MAIN ST STE 202, PRINCE FREDERICK, MD 20678-3341
(410) 535-6975

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008127
MD

Other

Enumeration date
02/28/2022
Last updated
04/20/2022
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