Healthcare Provider Details

I. General information

NPI: 1134953029
Provider Name (Legal Business Name): LAWRENCIA ADDO DARKO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2024
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 E MONUMENT ST
BALTIMORE MD
21205-2431
US

IV. Provider business mailing address

9111 HELAINE HAMLET WAY
COLUMBIA MD
21045-4057
US

V. Phone/Fax

Practice location:
  • Phone: 667-207-3552
  • Fax:
Mailing address:
  • Phone: 443-722-2102
  • Fax: 443-692-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR237246
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR237246
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: