Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.121639 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 24583 | MS |
Y | 2080P0204X | Pediatric Emergency Doctor | D0092646 | MD |
NPI | 1053567313 |
---|---|
Provider Name | Dr. Claudia Gloria Lares Romero |
First Address | Rockville, MD 20850-3357 |
Second Address | Rockville, MD 20850-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2008 |
Last Update Date | 08/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08486041 | (05) | MS |