DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE

MEDICARE: HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1033821830
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
Provider Business Mailing Address
First Line : 9954 SHOSHONE WAY
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-1739
Country : US
Telephone Number : 443-204-1134
Fax Number :
Provider Business Practice Location Address
First Line : 100 OWINGS CT STE 12
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-6434
Country : US
Telephone Number : 443-204-1134
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAVON MAGRUDER
Credential : CRNP
Telephone Number : 443-204-1134
Provider Enumeration Date : 12/23/2022
Last Update Date : 02/09/2023

Similar Medicare Providers

1396071700 — SUSAN GEORGE M.D.
Practice Location Address:
100 OWINGS CT STE 12
REISTERSTOWN, MD
21136-6434
Practice Phone: 410-591-4898
Practice Fax:
1124490776 — MRS. ASHLEY ALICIA WILLIS LCSWC
Practice Location Address:
100 OWINGS CT STE 12
REISTERSTOWN, MD
21136-6434
Practice Phone: 443-386-4897
Practice Fax: 443-640-4358
1346853116 — BEST LIFE COUNSELING
Practice Location Address:
100 OWINGS CT STE 12
REISTERSTOWN, MD
21136-6434
Practice Phone: 443-386-4897
Practice Fax:
1366031890 — MRS. KATHLEEN REBECCA BOWLING LMT, CMLDT
Practice Location Address:
100 OWINGS CT STE 12
REISTERSTOWN, MD
21136-6434
Practice Phone: 443-741-2072
Practice Fax:
1841960234 — CARLEAH BOWLING LMT, CPHT
Practice Location Address:
100 OWINGS CT STE 12
REISTERSTOWN, MD
21136-6434
Practice Phone: 443-814-9788
Practice Fax:
1770915969 — MOBILE EYEWEAR SERVICES LLC
Practice Location Address:
4015 LOG TRAIL WAY
REISTERSTOWN, MD
21136-1841
Practice Phone: 410-929-8900
Practice Fax: 410-363-1979

Directions to “HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.