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NPI Code Detail

MEDICARE: LORRIE BARBARA ZELESNICK PA C

MEDICARE:   LORRIE BARBARA ZELESNICK  PA C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC000054MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21285634329OTHERMDMEDICARE NPI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S238H643OTHERMDPTAN
3257834ZBAKOTHERMDPTAN

General Provider Information

NPI Number : 1285634329
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRIE BARBARA ZELESNICK PA C
Provider Business Mailing Address
First Line : 4800 SETON DR
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-3210
Country : US
Telephone Number : 410-358-3410
Fax Number :
Provider Business Practice Location Address
First Line : 4800 SETON DR
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-3210
Country : US
Telephone Number : 410-358-3410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/01/2013

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Directions to “ LORRIE BARBARA ZELESNICK PA C” Practice Location

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