Healthcare Provider Details

I. General information

NPI: 1295787075
Provider Name (Legal Business Name): LUCILLE HELEN HAMET-ATTIA C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUCILLE DAVIDS

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NORTH CAROLINE STREET
BALTIMORE MD
21287-0712
US

IV. Provider business mailing address

4512 COFFEETREE COURT
PIKESVILLE MD
21208-6405
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-0300
  • Fax:
Mailing address:
  • Phone: 410-486-3035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRO31918
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: