person
Irina A Lidow, CRNP
Women's Health Nurse Practitioner in Pikesville, Maryland
NPI 1841267218

Irina A Lidow is a Women's Health Nurse Practitioner based in Fulton, MD and is specialized in Women's Health. Irina A Lidow practices in Pikesville, MD and has the professional credentials of CRNP. The NPI Number for Irina A Lidow is 1841267218 and holds a License No. R149500 (Maryland).

The current practice location address for Irina A Lidow is 124 Slade Ave Ste 210, Pikesville, MD and can be reached out via phone at 443-901-2040 and via fax at 443-901-2043. You can also correspond with Irina A Lidow through the mailing address at 8110 MAPLE LAWN BLVD STE 235, FULTON, MD - 20759-2694 (mailing address contact number: 301-340-8339).

Location: 124 Slade Ave Ste 210, Pikesville, MD, 20759-2694
person
Provider Profile Details
NPI Number
1841267218
Provider Name
Irina A Lidow
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
124 Slade Ave Ste 210, Pikesville, MD, 20759-2694
Phone Number
443-901-2040
Fax Number
443-901-2043
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R149500 01 MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
124 Slade Ave Ste 210
City
State
Zip
21208
Phone Number
443-901-2040
Fax Number
443-901-2043
person
Provider Business Mailing Address Details
Address
124 Slade Ave Ste 210
City
State
Zip
21208
Phone Number
443-901-2040
Fax Number
443-901-2043
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
R149500 (Maryland)
Definition
Definition to come...
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