Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D69097 | MD |
Y | 111NI0900X | Internist | D69097 | MD |
NPI | 1992987499 |
---|---|
Provider Name | Dr. Letitia Jeanna Wright |
First Address | Baltimore, MD 21211-2803 |
Second Address | Baltimore, MD 21202-5533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023751500 | (05) | MD |