Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOPHIA LASIE GOUGH
ActiveSOPHIA LASIE GOUGH is a 376G00000X healthcare provider located in BALTIMORE, Maryland. NPI 1295509867 is currently active in the NPPES registry. Verify at CMS.
376G00000X · BALTIMORE, MD
Registration Details
- NPI Number
- 1295509867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2023 (2.7815163866541 yrs)
- Last Updated
- Nov 14, 2023
Practice Information
- Address
-
1259 LIMIT AVEBALTIMORE, MD, 212391748Browse MD providers · Browse ZIP 21239
- Phone
- 4435108226
- Primary Specialty
-
376G00000X
376G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.