# LASER PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124498233
- **Authorized official:** JENNIFER MULLENDORE DPM (OWNER)
- **Authorized official phone:** (301) 515-1494

## Contact information

- **Practice address:** 19527 DOCTORS DR, GERMANTOWN, MD 20874-5262
- **Practice address phone:** (301) 515-1494
- **Mailing address:** 19527 DOCTORS DR, GERMANTOWN, MD 20874-5262
- **Mailing address phone:** (301) 515-1494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01423 | MD | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 10/01/2015