Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0052441 | MD |
NPI | 1093817652 |
---|---|
Provider Name | Lainie Nicole Baumgarten-Hoover |
First Address | Germantown, MD 20874-1214 |
Second Address | Germantown, MD 20874-1214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2006 |
Last Update Date | 08/07/2007 |