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Individual

MS. LAUREN RINACA CONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
1 TEXAS STATION COURT, SUITE 300, TIMONIUM, MD 21093
(410) 683-4102
(410) 683-2130
Mailing address
1 TEXAS STATION COURT, SUITE 300, TIMONIUM, MD 21093
(410) 683-4102
(410) 683-2130

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004876
MD
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
10/11/2012
Last updated
04/11/2017
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