Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R092770 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | R092770 | MD |
NPI | 1003912767 |
---|---|
Provider Name | Mrs. Rosemary Anne Smith-Lamacchia |
First Address | Timonium, MD 21093-2640 |
Second Address | Baltimore, MD 21201-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 17/10/2011 |