LEE GORDON CARROLL

TOWSON, MD
NPI1942490610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R144380)
Enumeration Date2007-07-30
Last Update Date2007-10-25
Business Address
Mr. LEE GORDON CARROLL CRNA
6701 N CHARLES ST
TOWSON, MD 21204-6808
Phone number: 410-296-4616
Mailing Address
Mr. LEE GORDON CARROLL CRNA
110 WEST RD STE 210
TOWSON, MD 21204-2341
Phone number: 410-296-4616
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