Organization Name: | LORRAINE OFORI-AWUAH MD PA |
NPI Number: | 1487769915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORRAINE BEATRICE OFORI-AWUAH (PRESIDENT) |
Mailing Address: | 5430 Campbell Blvd Ste 214 White Marsh |
State: | MD US |
Postal Code: | 21162 |
Phone Number: | 4109334970 |
Fax Number: | 4109334971 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | DOO61789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |