| NPI | 1972833812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS LAWRENCE Authorized Official 410-530-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D51148) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2010-12-27 |