Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P26510 | MD |
Y | 2084N0400X | Neurologist | D81678 | MD |
N | 2084N0402X | Child Neurologist | D81678 | MD |
NPI | 1063706752 |
---|---|
Provider Name | Dr. Peggy Rechthand Lazerow |
First Address | Baltimore, MD 21215-5216 |
Second Address | Baltimore, MD 21209-4354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 19/03/2019 |