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
Provider Address
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