Dimick-Santos, Lara L
Dimick-Santos, Lara L is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dimick-Santos, Lara L can be contacted via phone (443) 481-1000.Contact Information
Primary practice address
2001 Medical Pkwy
Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax: (443) 481-1360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0063559 | Maryland |
Profile Details
| NPI number | 1952398950 |
|---|---|
| LBN Legal business name | Dimick-Santos, Lara L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Feb 25th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952398950 | NPPES |
| Maryland | Other | 145724700 | FEDERAL WORKMEN'S COMP |
| Maryland | Other | K5880004 | FEDERAL WORKMEN'S COMP |
| Maryland | Other | 887BAA 6474901 | FEDERAL WORKMEN'S COMP |
| Maryland | MEDICAID | 936200201 408805100 | FEDERAL WORKMEN'S COMP |
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