NPI | 1720835010 |
---|---|
Doing Business As | LH PRIMARY CARE NORTH HANSON |
Entity Type | Organization |
Authorized Contact | DEBRA BARBER Provider Enrollment COO Rdinator 443-481-5144 |
Organization Subpart ? | |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-05-03 |
Last Update Date | 2024-05-22 |