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Lexington Primary Care Limited Liability Company

Clinic/Center, Primary Care in Baltimore, MD. Organization (NPI-2).

NPI number1164094371
StatusActive
Last updated in NPPESJul 15, 2021

Details

NPI
1164094371
Entity type
Organization (NPI-2)
Legal business name
Lexington Primary Care Limited Liability Company
Organization subpart
No
Enumeration date
Jul 15, 2021
Certification date
Jul 15, 2021
Last updated
Jul 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
363LF0000X Nurse Practitioner, Family––

Practice location

11 E Lexington St Ste 600
Baltimore, MD 21202-1711

Phone 443-708-5612

Mailing address

11 E Lexington St Ste 600
Baltimore, MD 21202-1711

Phone 443-708-5612

Authorized official

Bisrat Mesfin
Ceo
4437085612

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