Provider Demographics
NPI:1003912767
Name:SMITH-LAMACCHIA, ROSEMARY ANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:ANNE
Last Name:SMITH-LAMACCHIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2504 HARTHAM CT
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2640
Mailing Address - Country:US
Mailing Address - Phone:410-561-3920
Mailing Address - Fax:410-605-7919
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:SURGERY SERVICE 112/S
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7919
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR092770363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology