Individual
LAWRENCE A MCGUIGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 S HANOVER ST, BALTIMORE, MD 21225
(410) 350-8336
(410) 350-7178
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225
(410) 350-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003009
MD
363AS0400X
Surgical Physician Assistant
C03009
MD
Other
Enumeration date
05/25/2006
Last updated
09/04/2019
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