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NPI 1679405260 · Phlebology Physician · Brandywine, MD
Provider details
- NPI number
- 1679405260
- Entity type
- Organization
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lauren Rawlings, Paramedic(240) 478-3428
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12401 Lytton Ave
Brandywine, MD 20613-9070
Phone: (240) 478-3428
Approximate (ZIP-level) locationGet directions
Mailing address
12401 Lytton Ave
Brandywine, MD 20613-9070
Registry dates
- Enumerated
- 2026-05-30
- Last updated
- 2026-05-30
- Certified
- 2026-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.