| NPI | 1588552640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AASTASSHIA LYNN LACY Owner/Provider 410-870-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |