Hormones & Immunology Personalized Medicine
NPI #1033821830 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1033821830
- Entity Type
- Organization
- Organization Name
- Hormones & Immunology Personalized Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 23, 2022
- Last Updated
- Feb 9, 2023
Practice Location
- Address
- 100 OWINGS CT STE 12
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-6434
- Phone
- (443) 204-1134
Authorized Official
- Name
- LAVON MAGRUDER, CRNP
- Title
- OWNER
- Phone
- (443) 204-1134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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