Healthcare Provider Details

I. General information

NPI: 1134068737
Provider Name (Legal Business Name): LUCY JANE DOOLEY MB BCH BAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 EASTERN AVE MASON F FORD BUILDING
BALTIMORE MD
21224
US

IV. Provider business mailing address

15 RAVENSDALE COURT
KIMMAGE DUBLIN
D12 Y3KD
IE

V. Phone/Fax

Practice location:
  • Phone: 410-550-7162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: