Nellie Lavern Whitaker MD

NPI 1326124595 - General Practice - 208D00000X

NPI Details
NPI 1326124595
Gender Female
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1667 CROFTONCENTRE
SUITE 1
CROFTON MD, 21114, US
Phone (410) 721-2700
Fax (410) 721-8874
Business Location
1667 CROFTONCENTRE
SUITE 1
CROFTON MD, 21114, US
Phone (410) 721-2700
Fax (410) 721-8874
Toxanomy
Taxonomy Code 208D00000X
License State Maryland
License Number D0028436
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According to our database, Nellie Lavern Whitaker MD NPI is 1326124595, taxonomy code is 208D00000X and license number is D0028436, license state is located at Maryland. Nellie Lavern Whitaker MD physically located at 1667 Croftoncentre, Crofton MD, 21114. NPI Number Nellie Lavern Whitaker MD has the Individual type.

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1326124595 NPI number is provided on an as is basis without warranty of any kind. 1326124595 is maintained by the National Plan & Provider Enumeration System. The contents of Nellie Lavern Whitaker MD are for informational purposes only.