LINCY KOODALY

BALTIMORE, MD
NPI1588021844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R167597)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MD  R 167597)
Enumeration Date2016-01-18
Last Update Date2022-11-14
Business Address
LINCY KOODALY CRNA
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3200
Mailing Address
LINCY KOODALY CRNA
3001 S HANOVER ST
BALTIMORE, MD 21225-1233
Phone number: 410-350-3200