Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | D84781 | MD |
NPI | 1023384948 |
---|---|
Provider Name | Lauren A. George |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2012 |
Last Update Date | 20/06/2018 |