Lake Shore Physician PA
Lake Shore Physician PA is an Internal Medicine Physician in Pasadena, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4231 Postal CtPasadena, MD 21122
Phone: (410) 432-3200
Fax: (410) 437-9402
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D14751 (MD) |
|---|
Record details
| NPI number | 1003823717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Folkemer — President · (410) 437-3200 |
| NPI enumerated | August 2, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4231 Postal Court, Pasadena, MD 21122 |
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