Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0064141 | MD |
NPI | 1013946185 |
---|---|
Provider Name | Dr. Lois M Endo |
First Address | Baltimore, MD 21236-4931 |
Second Address | Baltimore, MD 21236-4931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I14289 | (02) |