Healthcare Provider Details

I. General information

NPI: 1548666977
Provider Name (Legal Business Name): LUUKIA MORIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 HIGHWOOD DR
BALTIMORE MD
21212-2710
US

IV. Provider business mailing address

733 HIGHWOOD DR
BALTIMORE MD
21212-2710
US

V. Phone/Fax

Practice location:
  • Phone: 443-824-8142
  • Fax:
Mailing address:
  • Phone: 443-824-8142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR231488
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: