Provider Demographics
NPI:1316178452
Name:GRUMBINE, FRANCIS LAWSON (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:LAWSON
Last Name:GRUMBINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:419 W REDWOOD ST
Mailing Address - Street 2:STE 470
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1734
Mailing Address - Country:US
Mailing Address - Phone:667-214-1111
Mailing Address - Fax:410-328-6503
Practice Address - Street 1:419 W REDWOOD ST
Practice Address - Street 2:STE 470
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1734
Practice Address - Country:US
Practice Address - Phone:667-214-1111
Practice Address - Fax:410-328-6503
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0078912207W00000X
PAMD454769207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology