Provider Demographics
NPI:1124043427
Name:DUNN, DEBORAH LAVERN (PA-C)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LAVERN
Last Name:DUNN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10440 SHAKER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1200
Mailing Address - Country:US
Mailing Address - Phone:443-249-2339
Mailing Address - Fax:410-226-8931
Practice Address - Street 1:10440 SHAKER DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1200
Practice Address - Country:US
Practice Address - Phone:443-249-2339
Practice Address - Fax:410-226-8931
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2025-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0000844363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant