Provider Demographics
NPI:1568431526
Name:LUDMER, LYNN M (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:LUDMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ST. PAUL PLACE
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 ST. PAUL PLACE
Practice Address - Street 2:#411
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-9346
Practice Address - Fax:410-385-2354
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035272207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD368202OtherMAMSI, ALL PLANS
MD4399147OtherAETNA PPO/MGD CARE
MD6741698001OtherCIGNA
MDF5970002OtherFEDERAL BS PROGRAM
MD2703412OtherAETNA HMO
MD3200091OtherUNITED HEALTHCARE MIDATLA
MDF5970002OtherCAREFIRST BCBS OF NCA
MD41719604OtherCAREFIRST BCBS OF MARYLAN
MH660003641OtherRAILROAD MEDICARE
MD158021300Medicaid
F19062Medicare UPIN
MDF5970002OtherCAREFIRST BCBS OF NCA