HOLISTIC REPRODUCTIVE WELLNESS GROUP NPI 1588552640

NPI Information

  • NPI: 1588552640
  • Provider Name: HOLISTIC REPRODUCTIVE WELLNESS GROUP
  • Classification: Obstetrics & Gynecology - 207VM0101X
  • Specialization: Maternal & Fetal Medicine
  • Entity Type: Organization
  • Address: 2806 BREWERS CROSSING WAY
    HANOVER, MD
    ZIP 21076
  • Phone: (480) 242-1736

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NPI Details

HOLISTIC REPRODUCTIVE WELLNESS GROUP is a maternal and fetal medicine obstetrics gynecology in Hanover, MD. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. HOLISTIC REPRODUCTIVE WELLNESS GROUP NPI is 1588552640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2806 BREWERS CROSSING WAY
HANOVER, MD
ZIP 21076-902
Phone: (480) 242-1736

The provider's authorized official is Aastasshia Lynn Lacy .
The authorized official title is Owner/provider and has the following contact phone number (410) 870-9567.

The enumeration date for this NPI number is 6/26/2025 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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