Doctor Name: | MRS. SALVACION GARIN LAZATIN |
NPI Number: | 1740329283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D19526 |
Business Practice Address: | 2412 Baldwin Mill Rd Fallston, MD - 21047 |
Business Phone Number: | 4105579191 |
Business Fax Number: | |
Mailing Address: | 2412 Baldwin Mill Rd, FALLSTON |
State: | MD |
Postal Code: | 21047 |
Phone Number: | 4105579191 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D19526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |