Female

Lynette A. Smith ADT 2477

Community/Behavioral Health Agency in Baltimore, MD(View on Map)

Full Name

Lynette Anne Smith ADT 2477

NPI Number

1902582273

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/22/2023

Specialties

(Taxonomies)

Code

251S00000X
101YA0400X

Primary Taxonomy

Yes
No

Licenses

State

Maryland
Maryland

License Number

93-2018402
932018402

Contact
Information

Purpose

Mailing
Location

Address

3330 SAINT AMBROSE AVE
3330 SAINT AMBROSE AVE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21215-6311
21215-6311

Country

US
US

Telephone Number

(202) 985-9536
(202) 985-9536

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2023

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