Most Relevant Information
Provider Data
| NPI Number: | 1003649336 |
| Provider Name: | LYNN DESROSIERS FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R170635 |
Most Important Dates
| Enumeration Date: | 08/22/2024 |
| Last Updated: | 08/22/2024 |
Provider Practice Location
1800 ORLEANS ST
BALTIMORE
MD
212870010
Practice Location Phone/Fax
| Phone: | 4109552800 |
| Fax: |
Provider Mailing Location
3931 KESWICK RD
BALTIMORE
MD
212112227
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |