person
Ms. Mary Beth Lennox Mendoza, PA-C
Surgical Physician Assistant in Westminster, Maryland
NPI 1194786186

Mary Beth Lennox Mendoza is a Surgical Physician Assistant based in Owings Mills, MD and is specialized in Surgical. Mary Beth Lennox Mendoza practices in Westminster, MD and has the professional credentials of PA-C. The NPI Number for Mary Beth Lennox Mendoza is 1194786186 and holds a License No. C01911 (Maryland).

The current practice location address for Mary Beth Lennox Mendoza is 410 Malcolm Dr, Westminster, MD and can be reached out via phone at 410-876-1633 and via fax at 410-840-2100.

Location: 410 Malcolm Dr, Westminster, MD, 21117-5437
person
Provider Profile Details
NPI Number
1194786186
Provider Name
Mary Beth Lennox Mendoza
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
410 Malcolm Dr, Westminster, MD, 21117-5437
Phone Number
410-876-1633
Fax Number
410-840-2100
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00250839 01 MD R/R MEDICARE PROVIDER #
970005976 01 MD R/R MEDICARE PROVIDER #
CN6601 01 MD R/R MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
410 Malcolm Dr
City
State
Zip
21157-6160
Phone Number
410-876-1633
Fax Number
410-840-2100
person
Provider Business Mailing Address Details
Address
410 Malcolm Dr
City
State
Zip
21157-6160
Phone Number
410-876-1633
Fax Number
410-840-2100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C01911 (Maryland)
Definition
Definition to come...
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