Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | D66215 | MD |
Y | 2080P0208X | Pediatric Infectious Diseases | D66215 | MD |
NPI | 1598802027 |
---|---|
Provider Name | Allison Lorna Agwu |
First Address | Baltimore, MD 21287-0011 |
Second Address | Baltimore, MD 21287-0011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 14/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014169100 | (05) | MD |