Provider Demographics
NPI:1013946185
Name:ENDO, LOIS M (MD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:M
Last Name:ENDO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7939 HONEYGO BLVD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4931
Mailing Address - Country:US
Mailing Address - Phone:410-931-0404
Mailing Address - Fax:410-931-0405
Practice Address - Street 1:7939 HONEYGO BLVD
Practice Address - Street 2:SUITE 219
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-4931
Practice Address - Country:US
Practice Address - Phone:410-931-0404
Practice Address - Fax:410-931-0405
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2013-01-23
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Provider Licenses
StateLicense IDTaxonomies
MDD0064141207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
I14289Medicare UPIN