Individual provider · Type 1 NPI
Tamiru Dubale Lawgaw, PA
Medical Physician Assistant · Baltimore, MD
NPI number
1841553096
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0004732 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1841553096
Tamiru Dubale Lawgaw, PA's National Provider Identifier is 1841553096, issued on Jun 22, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 24, 2012.