Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0061543 | MD |
N | 2080P0214X | Pediatric Pulmonologist | 0101259424 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | D61543 | MD |
NPI | 1639216500 |
---|---|
Provider Name | Lori Lynne Vanscoy |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 23/08/2019 |