| Doctor Name: | MRS. LACY TWINING PITMAN |
| NPI Number: | 1073598462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R147334 |
| Business Practice Address: | 130 Hospital Rd Suite 201 Prince Frederick, MD - 206784015 |
| Business Phone Number: | 4105355660 |
| Business Fax Number: | 4105355722 |
| Mailing Address: | 100 Hospital Rd, PRINCE FREDERICK |
| State: | MD |
| Postal Code: | 206784017 |
| Phone Number: | 4104144791 |
| Fax Number: | 4104144558 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R147334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |