Individual
KATHERINE LAWLOR FRADENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 I ST NW STE 825, WASHINGTON, DC 20005-6532
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD210012001
DC
207Q00000X
Family Medicine Physician
OT020307
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2020
Last updated
09/05/2024
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