Provider Demographics
NPI:1164571279
Name:ERBY, LORI ANN HAMBY (SCM, PHD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN HAMBY
Last Name:ERBY
Suffix:
Gender:F
Credentials:SCM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64313
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:624 N BROADWAY
Practice Address - Street 2:ROOM 750
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1900
Practice Address - Country:US
Practice Address - Phone:302-355-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2002145170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS